Healthcare Provider Details

I. General information

NPI: 1144130097
Provider Name (Legal Business Name): SHELBY JEAN SIMMONS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 E JUDGE PEREZ DR
CHALMETTE LA
70043-5493
US

IV. Provider business mailing address

2513 VOLPE DR
CHALMETTE LA
70043-5546
US

V. Phone/Fax

Practice location:
  • Phone: 504-301-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number14765
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: