Healthcare Provider Details

I. General information

NPI: 1336962711
Provider Name (Legal Business Name): BRITTANY DANIELLE SIMS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2024
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 E 46TH ST
CHICAGO IL
60653-3984
US

IV. Provider business mailing address

59 E 46TH ST
CHICAGO IL
60653-3984
US

V. Phone/Fax

Practice location:
  • Phone: 773-590-9987
  • Fax:
Mailing address:
  • Phone: 773-590-9987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number149027596
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149027596
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: