Healthcare Provider Details

I. General information

NPI: 1306361704
Provider Name (Legal Business Name): KATHERINE SIMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2017
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5198 RICHMOND RD
BEDFORD HEIGHTS OH
44146-1331
US

IV. Provider business mailing address

12339 WAKE UNION CHURCH RD
WAKE FOREST NC
27587-4512
US

V. Phone/Fax

Practice location:
  • Phone: 216-378-9101
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: