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NPI Code Detail

MEDICARE: MS. HEATHER BROOKE SIMPSON LCSW

MEDICARE:  MS. HEATHER BROOKE SIMPSON  LCSW
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 WorkerC011644NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C011644OTHERNCLCSW

General Provider Information

NPI Number : 1083065544
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HEATHER BROOKE SIMPSON LCSW
Provider Business Mailing Address
First Line : 2207 DELANEY DR
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-5263
Country : US
Telephone Number : 336-684-9951
Fax Number : 336-513-0554
Provider Business Practice Location Address
First Line : 2207 DELANEY DR STE 107
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-5263
Country : US
Telephone Number : 336-270-9692
Fax Number : 336-513-0554
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2016
Last Update Date : 07/10/2019

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Directions to “ MS. HEATHER BROOKE SIMPSON LCSW” Practice Location

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