Individual provider Active NPI

Frankdesha Sylvia Simmons

  • Clinical Social Worker
  • Casselberry, FL
National Provider Identifier
1174361703
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW20465 Issued in FL
Practice address
1211 State Road 436 Ste 171
Casselberry, FL 32707-6442
Phone
(407) 894-1708
NPI assigned
Jul 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 ISW20465 FL Primary

Addresses

Primary practice location

1211 State Road 436 Ste 171
Casselberry, FL 32707-6442

Mailing address

1211 State Road 436 Ste 171
Casselberry, FL 32707-6442
Phone (407) 840-5516

Other practice location 1

1516 E Colonial Dr
Orlando, FL 32803-4740
Phone (407) 894-1708

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
ISW20465FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1174361703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 STATE ROAD 436 STE 171",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076442",
            "telephone_number": "407-840-5516",
            "fax_number": "407-894-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 STATE ROAD 436 STE 171",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076442",
            "telephone_number": "407-894-1708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1516 E Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328034740",
            "country_code": "US",
            "telephone_number": "407-894-1708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "FRANKDESHA",
        "middle_name": "SYLVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW20465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.