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FERN DEBRA SIMON LCSW-R NPI 1760511554


NPI Information

NPI: 1760511554
Provider Name: FERN DEBRA SIMON, LCSW-R
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
732 GLOVER PL
BALDWIN, NY
ZIP 11510
Phone: (516) 546-0102
Get Directions

Fern Debra Simon, LCSW-R is a clinical social worker in Baldwin, NY. 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. Fern Debra Simon, LCSW-R NPI is 1760511554. 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:

732 GLOVER PL
BALDWIN, NY
ZIP 11510-505
Phone: (516) 546-0102
Fax: (516) 546-2684

The enumeration date for this NPI number is 3/5/2007 and was last updated on 11/17/2015.


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 WorkerClinicalR045230-1NEW YORKYes

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
1P2063316OTHERNEW YORKOXFORD
2290-902000OTHERNEW YORKMAGELLAN
3225747586OTHERNEW YORKUNITED BEHAVIORAL HEALTH
47481514OTHERNEW YORKGHI
5N7B721OTHERNEW YORKBLUE CROSS BLUE SHIELD
6A349806OTHERNEW YORKVALUE OPTIONS
77373255OTHERNEW YORKAETNA
81760511664MEDICARE UPINNEW YORK
902123128MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
10N7B721MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

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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