Healthcare Provider Details

I. General information

NPI: 1932785284
Provider Name (Legal Business Name): ALEXANDRIA J SIMMS LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2021
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45875 BELL SCHOOL RD STE B
EAST LIVERPOOL OH
43920-8728
US

IV. Provider business mailing address

527 N MERIDIAN RD
YOUNGSTOWN OH
44509-1227
US

V. Phone/Fax

Practice location:
  • Phone: 330-397-6007
  • Fax: 234-254-5655
Mailing address:
  • Phone: 330-797-0070
  • Fax: 330-797-9146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.1904535
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: