Simone Woods, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149019204 Issued in IL

Practice address

2950 W Chicago Ave Ste 202
Chicago, IL 60622-4377

Phone

(773) 562-8655

NPI assigned

Jan 31, 2018

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Agave Studio, LLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1023427861
  NPD (past)

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1144728551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 W JACKSON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606444242",
            "telephone_number": "773-469-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 W CHICAGO AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224377",
            "telephone_number": "773-562-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "SIMONE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149019204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Corey Woods, DC
• Michelle Woods
• Nicole Dawn Woods, MA, RDN
• Robert Louis Woods Jr., PSYD
• Shannon Woods, CADC
• Tiffany Renee Woods, PT, DPT
• Unice Lee Woods
• William Scott Woods, M.A.
• Xavier Woodson, D.D.S.
• Erayna Woodward

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.