MEDICARE: CASEY C SIMS MSW, LCSW/LICSW

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
1	1041C0700X	Clinical Social Worker	L8304	OR
2	1041C0700X	Clinical Social Worker	126877	MA

General Provider Information

NPI Number	:	1548744246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASEY C SIMS MSW, LCSW/LICSW

Provider Business Mailing Address
First Line	:	170 LAUREL HILL RD
Second Line	:
City	:	WESTHAMPTON
State	:	MA
Zip	:	01027-9518
Country	:	US
Telephone Number	:	570-847-0636
Fax Number	:

Provider Business Practice Location Address
First Line	:	32 MASONIC ST
Second Line	:
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-3587
Country	:	US
Telephone Number	:	570-847-0636
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2018
Last Update Date	:	03/21/2026

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