RENEE SIMONE APRN LICSW LADC I NPI 1053497206

NPI Information

  • NPI: 1053497206
  • Provider Name: RENEE SIMONE, APRN, LICSW, LADC I
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 71 MARY ST
    CHICOPEE, MA
    ZIP 01020
  • Phone: (413) 536-1918

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NPI Details

Renee Simone, APRN, LICSW, LADC I is a primary care nurse practitioner in Chicopee, MA with 9 years of experience. Renee Simone, APRN, LICSW, LADC I NPI is 1053497206. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

71 MARY ST
CHICOPEE, MA
ZIP 01020-139
Phone: (413) 536-1918
Fax: (413) 536-8078

The NPI 1053497206 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Psychotherapy with evaluation and management visit, 30 minutes (HCPCS:90833)

The enumeration date for this NPI number is 10/31/2006 and was last updated on 5/29/2019.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)1181MASSACHUSETTSNo
21041C0700XSocial WorkerClinical111795MASSACHUSETTSNo
3363LP2300XNurse PractitionerPrimary CareMS1125839NMASSACHUSETTSNo
4363LP2300XNurse PractitionerPrimary Care7234CONNECTICUTYes

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
1861096515OTHERMASSACHUSETTSEIN
2861096515OTHERMASSACHUSETTSAETNA
31036490OTHERMASSACHUSETTSNHP
4726247000OTHERMASSACHUSETTSMAGELLAN
52197528OTHERMASSACHUSETTSCIGNA
61853171MEDICAIDMASSACHUSETTS
7P08297OTHERMASSACHUSETTSBC/BS
81053497206MEDICAIDCONNECTICUT

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: 11/21/2025

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