Healthcare Provider Details

I. General information

NPI: 1104076751
Provider Name (Legal Business Name): DONNA SIMONS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2008
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 LYNNHAVEN PKWY STE 305
VIRGINIA BEACH VA
23452-7350
US

IV. Provider business mailing address

3329 MACDONALD RD
VIRGINIA BEACH VA
23464-1719
US

V. Phone/Fax

Practice location:
  • Phone: 804-207-6737
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904014527
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: