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WILLIAM SIMMONS LICSW NPI 1922381656


NPI Information

NPI: 1922381656
Provider Name: WILLIAM SIMMONS, LICSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
222 BLOSSOM STREET, REAR
LYNN, MA
ZIP 01901
Phone: (781) 584-4645
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William Simmons, LICSW is a clinical social worker in Lynn, MA. 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. William Simmons, LICSW NPI is 1922381656. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

222 BLOSSOM STREET, REAR
LYNN, MA
ZIP 01901-000
Phone: (781) 584-4645
Fax: (781) 842-1379

The NPI 1922381656 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 9/20/2011 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
11041C0700XSocial WorkerClinical119544Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10000023532OTHERMASSACHUSETTSBMC
2042611055OTHERMASSACHUSETTSTAX ID
3M18633OTHERMASSACHUSETTSBCBS
41303287OTHERMASSACHUSETTSMBHP
599618201OTHERMASSACHUSETTSNETWORK HEALTH
61004745OTHERMASSACHUSETTSNHP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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