Jeremy Bernard Sims, MSW, PLCSW THERAPIST

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P003924 Issued in NC

Practice address

1720 Hampshire Dr
Salisbury, NC 28146-7211

Phone

(704) 630-6634

Fax

(866) 828-5500

NPI assigned

Nov 19, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1023299039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 EASTOVER RIDGE DR",
            "address_2": "UNIT 525",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111464",
            "telephone_number": "704-224-6805",
            "fax_number": "704-900-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 HAMPSHIRE DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281467211",
            "telephone_number": "704-630-6634",
            "fax_number": "866-828-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "JEREMY",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "credential": "MSW, PLCSW THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P003924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore John Sikorski, MD
• Heather Lynn Simpson
• Joanne Kelly Simpson, MD, MPH
• Sims Consulting & Clinical Services Inc.
• Gary Wardner Sims, DO
• Charlene Singh
• Gayle Jennette Singleton Yatawara, MD
• Mona A Sinno, MD
• William Scott Slagle, OD
• Michelle Sloop, RPH

• Clinical Social Worker in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.