Active NPI
Colleen Favuzzo Simmons, LMSW
- Social Worker
- New Orleans, LA
National Provider Identifier
1043675093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12917
- Practice address
- 2601 Tulane Ave
Suite 500
New Orleans, LA 70119-7462 - Phone
- (504) 821-2601
- NPI assigned
- Dec 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 12917 | LA | Primary |
Addresses
Primary practice location
2601 Tulane Ave
Suite 500
New Orleans, LA 70119-7462
Mailing address
2601 Tulane Ave
Suite 500
New Orleans, LA 70119-7462
Other names 1
- Colleen Marie Favuzzo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14 Scenic Dr
Dayton, NJ 08810-1495
Phone (972) 449-0542
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12917 | LA | MD | Speech-Language Pathologist |
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.
-
- Psychiatry Physician
- Hamilton, NJ
- NPI 1902418007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450310400000",
"number": "1043675093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 TULANE AVE",
"address_2": "SUITE 500",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701197462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 TULANE AVE",
"address_2": "SUITE 500",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701197462",
"telephone_number": "504-821-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "COLLEEN",
"middle_name": "FAVUZZO",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-17",
"last_updated": "2015-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "12917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COLLEEN",
"last_name": "FAVUZZO",
"middle_name": "MARIE",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.