Individual provider Active NPI

Bridget Anne Simmerman, LCSW

  • Clinical Social Worker
  • Blacksburg, VA
National Provider Identifier
1013941103
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2292 Issued in VA
Practice address
205A Washington St SW
Blacksburg, VA 24060-4743
Phone
(540) 961-5371
Fax
(540) 961-7143
NPI assigned
Jul 11, 2006
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 2292 VA Primary

Addresses

Primary practice location

205A Washington St SW
Blacksburg, VA 24060-4743

Mailing address

205A Washington St SW
Blacksburg, VA 24060-4743
Phone (540) 961-5371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20100916001213 VA Practitioner - Clinical Social Worker 9638294432 Practice locations: Blacksburg, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of North Carolina at Chapel Hill School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5068 Preston Forest Dr
Blacksburg, VA 24060-8962
Phone (540) 449-9101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2292VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chapman Senior Care, Inc. Clinical PastSince Apr 9, 2011 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013941103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205A WASHINGTON ST SW",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240604743",
            "telephone_number": "540-961-5371",
            "fax_number": "540-961-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205A WASHINGTON ST SW",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240604743",
            "telephone_number": "540-961-5371",
            "fax_number": "540-961-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMERMAN",
        "first_name": "BRIDGET",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "2292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.