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NPI Code Detail

MEDICARE: STACIE DENISE SIMS

MEDICARE: STACIE DENISE SIMS
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 WorkerISW22038FL

General Provider Information

NPI Number : 1346102373
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACIE DENISE SIMS
Provider Business Mailing Address
First Line : 711 RED CEDAR CT
Second Line :
City : ORANGE PARK
State : FL
Zip : 32073-1659
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 145 HERON BAY RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32218-3595
Country : US
Telephone Number : 904-470-6900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2025
Last Update Date : 12/11/2025

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Directions to “ STACIE DENISE SIMS ” Practice Location

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