Individual provider Active NPI

Aliyah Simcoff, LCSW

  • Clinical Social Worker
  • Orinda, CA
National Provider Identifier
1194318634
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW124086 Issued in CA
Practice address
2 Nelson LN
Orinda, CA 94563-4017
Phone
(925) 787-3590
NPI assigned
Feb 16, 2021
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X LCSW124086 CA Primary

Addresses

Primary practice location

2 Nelson LN
Orinda, CA 94563-4017

Mailing address

2 Nelson LN
Orinda, CA 94563-4017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260304000478 CA Practitioner - Clinical Social Worker 8729560370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Texas at Austin Dell Medical School, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4021 W Nic Dr
Addis, LA 70710-2104

515 E Washington Blvd
Crescent City, CA 95531-8342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW124086CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stallant Medical Group Inc CurrentSince Dec 31, 2025 Accepting new patients

Locations

515 E Washington Blvd
Crescent City, CA 95531
Phone (707) 460-1802

Interoperability endpoints

  • Direct secure messaging: aliyah.simcoff.1@33456.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1194318634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 NELSON LN",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945634017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 NELSON LN",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945634017",
            "telephone_number": "925-787-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMCOFF",
        "first_name": "ALIYAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW124086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orinda, CA

Sources for this page

Verify at the official NPI Registry.