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NPI Code Detail

MEDICARE: MS. PATRICIA SIMMONS LCSW

MEDICARE: MS. PATRICIA SIMMONS 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 Worker0904000752VA

General Provider Information

NPI Number : 1437274131
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA SIMMONS LCSW
Provider Business Mailing Address
First Line : 1505 KING ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-2716
Country : US
Telephone Number : 703-548-0400
Fax Number :
Provider Business Practice Location Address
First Line : 1505 KING ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-2716
Country : US
Telephone Number : 703-548-0400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 07/08/2007

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Directions to “ MS. PATRICIA SIMMONS LCSW” Practice Location

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