Doctor Name: | LORI WHITNEY SIMS |
NPI Number: | 1295194637 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CSW005705 |
Business Practice Address: | 9757 Blue Ridge Dr Blue Ridge, GA - 305134167 |
Business Phone Number: | 7064552490 |
Business Fax Number: | 7069466574 |
Mailing Address: | 9757 Blue Ridge Dr, BLUE RIDGE |
State: | GA |
Postal Code: | 305134167 |
Phone Number: | 7064552490 |
Fax Number: | 7069466574 |
NPI Enumeration Date: | 02/13/2016 |
NPI Last Update Date: | 02/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CSW005705 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |