Healthcare Provider Details

I. General information

NPI: 1124276241
Provider Name (Legal Business Name): JAMES SIMMONS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2008
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 BLACKHORSE HILL RD
COATESVILLE PA
19320-2040
US

IV. Provider business mailing address

1400 BLACKHORSE HILL ROAD VAMC
COATESVILLE PA
19320
US

V. Phone/Fax

Practice location:
  • Phone: 610-384-7711
  • Fax: 610-466-2242
Mailing address:
  • Phone: 610-384-7711
  • Fax: 610-466-2242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW001739E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: