MS. WENDY JAMES SIMEK, LCSW - NPI NUMBER 1558417311

Summary

Provider Name: MS. WENDY JAMES SIMEK, LCSW

NPI Number: 1558417311

Clasification: Social Worker (1041C0700X)

Specialization: Clinical

Address:
3125 KENNEDY DR
#306
SALT LAKE CITY, UT
ZIP 84108

Phone Number: (801) 910-9351



Detailed Information

MS. Wendy James Simek, LCSW is a clinical social worker in Salt Lake City, UT. The provider is a social worker who holds a master�s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master�s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. The assigned NPI number for this provider is 1558417311 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

3125 KENNEDY DR
#306
SALT LAKE CITY, UT
ZIP 84108-168
Phone: (801) 910-9351

The enumeration date for this NPI number is 1/26/2007 and was last updated on 7/8/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 1041C0700X Social Worker Clinical 1292343501 UT Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 1292343501 OTHER UT CLINICAL SOCIAL WORKER

NPI Record

No. Field Name Field Value
1 NPI 1558417311
2 Entity Type Code 1
3 Provider Last Name Legal Name SIMEK
4 Provider First Name WENDY
5 Provider Middle Name JAMES
6 Provider Name Prefix Text MS.
7 Provider Credential Text LCSW
8 Provider First Line Business Practice Location Address 3125 KENNEDY DR
9 Provider Second Line Business Practice Location Address #306
10 Provider Business Practice Location Address City Name SALT LAKE CITY
11 Provider Business Practice Location Address State Name UT
12 Provider Business Practice Location Address Postal Code 841082168
13 Provider Business Practice Location Address Country Code If outside U S US
14 Provider Business Practice Location Address Telephone Number 8019109351
15 Provider Enumeration Date 1/26/2007
16 Last Update Date 7/8/2007
17 Provider Gender Code F
18 Healthcare Provider Taxonomy Code 1 1041C0700X
19 Provider License Number 1 1292343501
20 Provider License Number State Code 1 UT
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 1292343501
23 Other Provider Identifier Type Code 1 01
24 Other Provider Identifier State 1 UT
25 Other Provider Identifier Issuer 1 CLINICAL SOCIAL WORKER
26 Is Sole Proprietor Y

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.