NPIMap

Individual provider Active NPI

Ida Marie Henderson Sima, LCSW-C

  • Clinical Social Worker
  • Jarrettsville, MD
National Provider Identifier
1093049033
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11563 Issued in MD
Practice address
1714 Jarrettsville Rd
North Harford Counseling, LLC
Jarrettsville, MD 21084-1524
Phone
(443) 613-6233
NPI assigned
Sep 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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 11563 MD Primary

Addresses

Primary practice location

1714 Jarrettsville Rd
North Harford Counseling, LLC
Jarrettsville, MD 21084-1524

Mailing address

1714 Jarrettsville Rd
Jarrettsville, MD 21084-1524
Phone (443) 613-6233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Harford Counseling, LLC Past Accepting new patients
North Harford Counseling, LLC Clinical Past Accepting new patients

Organizations & group practices 2

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": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1093049033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 JARRETTSVILLE RD",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210841524",
            "telephone_number": "443-613-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 JARRETTSVILLE RD",
            "address_2": "NORTH HARFORD COUNSELING, LLC",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210841524",
            "telephone_number": "443-613-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON SIMA",
        "first_name": "IDA MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jarrettsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.