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NPI Code Detail

MEDICARE: SARAH E SIMMONS LSW

MEDICARE: SARAH E SIMMONS LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerI.1200997OH
2104100000XSocial WorkerS1000473OH

General Provider Information

NPI Number : 1013225796
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH E SIMMONS LSW
Provider Business Mailing Address
First Line : 885 COMMERCE DR
Second Line :
City : PERRYSBURG
State : OH
Zip : 43551-5267
Country : US
Telephone Number : 419-931-6261
Fax Number :
Provider Business Practice Location Address
First Line : 885 COMMERCE DR
Second Line :
City : PERRYSBURG
State : OH
Zip : 43551-5267
Country : US
Telephone Number : 419-931-6261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2010
Last Update Date : 02/21/2023

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