Simone, Renee
Simone, Renee is an sole proprietor health care provider with primary practice located at 71 Mary St , Chicopee MA 01020-1139. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Simone, Renee can be contacted via phone (413) 536-1918.Contact Information
Primary practice address
71 Mary St
Chicopee MA 01020-1139
Phone: (413) 536-1918
Fax: (413) 536-8078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1181 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 111795 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | MS1125839N | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 7234 | Connecticut |
Profile Details
| NPI number | 1053497206 |
|---|---|
| LBN Legal business name | Simone, Renee |
| Credentials | APRN, LICSW, LADC I |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2006 |
| Last updated | May 29th, 2019 - about 7 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 | 1053497206 | NPPES |
| Massachusetts | Other | 2197528 | CIGNA |
| Massachusetts | Other | 1036490 | CIGNA |
| Massachusetts | Other | 861096515 | CIGNA |
| Massachusetts | Other | P08297 | CIGNA |
| Massachusetts | MEDICAID | 1053497206 | CIGNA |
| Massachusetts | MEDICAID | 1853171 | CIGNA |
| Massachusetts | Other | 726247000 | CIGNA |
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