Doctor Name: | CAROL A SIMS |
NPI Number: | 1225039134 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, PIP |
License Number: | 1271C |
Business Practice Address: | 195 Industrial Parkway Nvrh Corner Medical Lyndonville, VT - 05851 |
Business Phone Number: | 8027489501 |
Business Fax Number: | 8027483420 |
Mailing Address: | P.o. Box 83, LYNDONVILLE |
State: | VT |
Postal Code: | 05851 |
Phone Number: | 8027489501 |
Fax Number: | 8027483420 |
NPI Enumeration Date: | 08/02/2005 |
NPI Last Update Date: | 03/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1271C |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |