Active NPI
Allen Sims Sr., D.MIN. LBSW
- Social Worker
- Montgomery, AL
National Provider Identifier
1174008791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4679B
- Practice address
- 819 Edgar D Nixon Ave
Montgomery, AL 36104-4878 - Phone
- (334) 263-4100
- NPI assigned
- Sep 28, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 4679B | AL | Primary |
Addresses
Primary practice location
819 Edgar D Nixon Ave
Montgomery, AL 36104-4878
Mailing address
819 Edgar D Nixon Ave
Montgomery, AL 36104-4878
Phone (334) 465-1380
Other practice location 1
853 Leicester Dr
Montgomery, AL 36116-3611
Phone (334) 465-1380
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 |
|---|---|---|---|
| 4679B | AL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1174008791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 EDGAR D NIXON AVE",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361044878",
"telephone_number": "334-465-1380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 EDGAR D NIXON AVE",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361044878",
"telephone_number": "334-263-4100"
}
],
"practiceLocations": [
{
"address_1": "853 Leicester Dr",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "AL",
"postal_code": "361163611",
"country_code": "US",
"telephone_number": "334-465-1380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMS",
"first_name": "ALLEN",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "D.MIN. LBSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-28",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AL",
"license": "4679B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.