Active NPI
Jessie Elizabeth Simmons
- Social Worker
- Cincinnati, OH
National Provider Identifier
1104318385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1701118
- Practice address
- 401 E McMillan St
Cincinnati, OH 45206-1922 - Phone
- (513) 221-3350
- NPI assigned
- Jun 4, 2018
- 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 | S.1701118 | OH | Primary |
Addresses
Primary practice location
401 E McMillan St
Cincinnati, OH 45206-1922
Mailing address
5705 Chestnut Ridge Dr
Cincinnati, OH 45230-3592
Phone (513) 658-9492
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1701118 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1104318385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5705 CHESTNUT RIDGE DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452303592",
"telephone_number": "513-658-9492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E MCMILLAN ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061922",
"telephone_number": "513-221-3350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "JESSIE",
"middle_name": "ELIZABETH",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-04",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1701118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.