Simmons, Angela Dw
Simmons, Angela Dw is an sole proprietor health care provider with primary practice located at 130 Kings Daughters Dr , Frankfort KY 40601-4248. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Simmons, Angela Dw can be contacted via phone (502) 219-7762.Contact Information
Primary practice address
130 Kings Daughters Dr
Frankfort KY 40601-4248
Phone: (502) 219-7762
Fax: (502) 223-7491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1106 | Kentucky |
Profile Details
| NPI number | 1578942256 |
|---|---|
| LBN Legal business name | Simmons, Angela Dw |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2015 |
| Last updated | Nov 6th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578942256 | NPPES |
| Kentucky | MEDICAID | 7100379260 |
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