Healthcare Provider Details

I. General information

NPI: 1881623296
Provider Name (Legal Business Name): BARBARA ANN SIMPSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 08/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 KENHORST BLVD
READING PA
19611
US

IV. Provider business mailing address

516 KENHORST BLVD
READING PA
19611-1716
US

V. Phone/Fax

Practice location:
  • Phone: 610-777-0705
  • Fax: 610-670-2953
Mailing address:
  • Phone: 610-777-0705
  • Fax: 610-670-2953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904005689
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW013351
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: