Individual provider Active NPI

Marcia Simoneau, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1013924307
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2271 Issued in KS
Practice address
333 S Greenwood St
Wichita, KS 67211-1844
Phone
(316) 264-8800
Fax
(316) 264-8809
NPI assigned
Aug 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2271 KS Primary

Addresses

Primary practice location

333 S Greenwood St
Wichita, KS 67211-1844

Mailing address

333 S Greenwood St
Wichita, KS 67211-1844
Phone (316) 264-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2271KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Christian Church Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013924307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S GREENWOOD ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672111844",
            "telephone_number": "316-264-8800",
            "fax_number": "316-264-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S GREENWOOD ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672111844",
            "telephone_number": "316-264-8800",
            "fax_number": "316-264-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONEAU",
        "first_name": "MARCIA",
        "name_prefix": "Mrs.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.