Jessica Marie Simmons, LCSW
Individual provider Active NPI Clinical Social Worker · Halifax, PA
NPI 1003360413 · NPPES record last updated Jan 16, 2025
Key facts
- NPI
- 1003360413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CW024770 (PA)
- Practice address
- 791 Enders Rd
Halifax, PA 17032-9721 - Phone
- (814) 470-3718
- NPI assigned
- Aug 15, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW024770 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilient Roots Therapy LLC | Clinical | Current |
Accepting new patients |
Locations
791 Enders Rd
Halifax, PA 17032
Phone (717) 599-2909
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | CW024770 | PA | Yes |
Addresses
Primary practice location
791 Enders Rd
Halifax, PA 17032-9721
Mailing address
16 Matamoras Rd
Halifax, PA 17032-9501
Phone (814) 470-3718
Other providers in Halifax, PA
- Rite Aid of Pennsylvania LLC
- Trent M Roadcap
- Corynne Rutz
- Tara Saksek
- Juliana Rose Shuty
- Lylah Dawn Starks
- Caleb Strohecker
- Stephanus Johannes Van Wyk
- Christopher Andrew Vereb
- Charles R Wolfe III
All providers in Halifax, PA · Clinical Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.