| Doctor Name: | MR. JEREMY BERNARD SIMS |
| NPI Number: | 1023299039 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, PLCSW THERAPIST |
| License Number: | P003924 |
| Business Practice Address: | 1720 Hampshire Dr Salisbury, NC - 281467211 |
| Business Phone Number: | 7046306634 |
| Business Fax Number: | 8668285500 |
| Mailing Address: | 3207 Eastover Ridge Dr, Unit 525 CHARLOTTE |
| State: | NC |
| Postal Code: | 282111464 |
| Phone Number: | 7042246805 |
| Fax Number: | 7049005335 |
| NPI Enumeration Date: | 11/19/2007 |
| NPI Last Update Date: | 11/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | P003924 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |