MEDICARE: MARGARET SIMMONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LC50078091	DC
2	1041C0700X	Clinical Social Worker	0904008024	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12154051	OTHER	DC	CAQH

General Provider Information

NPI Number	:	1518267376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET SIMMONS

Provider Business Mailing Address
First Line	:	600 CAMERON ST
Second Line	:	SUITE 304
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2506
Country	:	US
Telephone Number	:	703-951-3428
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 CAMERON ST STE 304
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2506
Country	:	US
Telephone Number	:	703-951-3428
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2010
Last Update Date	:	10/14/2016

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