Mary Belle Simac, B.S.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12061 Issued in WI

Practice address

421 Nebraska St
Sturgeon Bay, WI 54235-2225

Phone

(920) 746-7155

Fax

(920) 746-2439

NPI assigned

Feb 9, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Door-Door County Library

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sturgeon Bay, WI
  • NPI 1245265693

  Clinical, WI

  Medicare reassignment NPD
• County of Door-Door County Library

  • Land Ambulance
  • Sturgeon Bay, WI
  • NPI 1184757486
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1013416635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 NEBRASKA ST",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352225",
            "telephone_number": "920-746-7155",
            "fax_number": "920-746-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 NEBRASKA ST",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352225",
            "telephone_number": "920-746-7155",
            "fax_number": "920-746-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMAC",
        "first_name": "MARY",
        "middle_name": "BELLE",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-09",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Kathleen Shipp, DDS
• Mallory Short, MS
• Charles Brian Shutt, M.D.
• Patricia Ann Sigl, D.D.S.
• Peter Sigmann, M.D.
• Jessica J Skinner, RN, IBCLC
• Schye D Skinner
• Chanta L Sloma, DACM, LAC
• Alex N Smithback, D-PT
• Judith Sowl, RDN, CD

• All providers in Sturgeon Bay, WI
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.