Individual provider Active NPI

Donna M Simbulan, LMSW, ACSW

  • Clinical Social Worker
  • Battle Creek, MI
National Provider Identifier
1114950730
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801068307 Issued in MI
Practice address
36 W Manchester St
Battle Creek, MI 49037-3016
Phone
(269) 660-3900
Fax
(269) 660-3899
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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 6801068307 MI Primary

Addresses

Primary practice location

36 W Manchester St
Battle Creek, MI 49037-3016

Mailing address

36 W Manchester St
Battle Creek, MI 49037-3016
Phone (269) 660-3900

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

LicenseStateTypeSpecialty
6801068307MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1114950730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 W MANCHESTER ST",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490373016",
            "telephone_number": "269-660-3900",
            "fax_number": "269-660-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W MANCHESTER ST",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490373016",
            "telephone_number": "269-660-3900",
            "fax_number": "269-660-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMBULAN",
        "first_name": "DONNA",
        "middle_name": "M",
        "credential": "LMSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801068307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.