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NPI Code Detail

MEDICARE: ANGELA SIMON LCSW

MEDICARE:   ANGELA  SIMON  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 Worker4319TN

General Provider Information

NPI Number : 1902992944
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA SIMON LCSW
Provider Business Mailing Address
First Line : 1105 GILMORE AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-2525
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1105 GILMORE AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-2525
Country : US
Telephone Number : 615-322-2028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 04/20/2020

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Directions to “ ANGELA SIMON LCSW” Practice Location

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