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

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 Field Definition 1
1 NPI 1558417311 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name SIMEK The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name WENDY The first name of the provider, if the provider is an individual.
5 Provider Middle Name JAMES The middle name of the provider, if the provider is an individual.
6 Provider Name Prefix Text MS. The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
7 Provider Credential Text LCSW The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
8 Provider First Line Business Practice Location Address 3125 KENNEDY DR The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
9 Provider Second Line Business Practice Location Address #306 The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
10 Provider Business Practice Location Address City Name SALT LAKE CITY The city name in the location address of the provider being identified.
11 Provider Business Practice Location Address State Name UT The State code in the location of the provider being identified.
12 Provider Business Practice Location Address Postal Code 841082168 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
13 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
14 Provider Business Practice Location Address Telephone Number 8019109351 The telephone number associated with the location address of the provider being identified.
15 Provider Enumeration Date 1/26/2007 The date the provider was assigned a unique identifier (assigned an NPI).
16 Last Update Date 7/8/2007 The date that a record was last updated or changed.
17 Provider Gender Code F The code designating the provider’s gender if the provider is a person.
18 Healthcare Provider Taxonomy Code 1 1041C0700X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
19 Provider License Number 1 1292343501 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
20 Provider License Number State Code 1 UT The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 1292343501 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
23 Other Provider Identifier Type Code 1 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
24 Other Provider Identifier State 1 UT
25 Other Provider Identifier Issuer 1 CLINICAL SOCIAL WORKER
26 Is Sole Proprietor Y Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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