Doctor Name: | MISS DENISE DIANNE SIMMONS |
NPI Number: | 1285749432 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-C |
License Number: | 07572 |
Business Practice Address: | 764 Windy Hill Rd New Freedom, PA - 173498801 |
Business Phone Number: | 4104040705 |
Business Fax Number: | |
Mailing Address: | 764 Windy Hill Rd, NEW FREEDOM |
State: | PA |
Postal Code: | 173498801 |
Phone Number: | 4104040705 |
Fax Number: | |
NPI Enumeration Date: | 08/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 07572 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |