Individual provider Active NPI

Laurie Halsey Simmons, LCSW

  • Clinical Social Worker
  • Edenton, NC
National Provider Identifier
1215564851
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003573 Issued in NC
Practice address
211 Virginia Rd
Edenton, NC 27932-9668
Phone
(252) 482-6347
Fax
(252) 482-6381
NPI assigned
Mar 24, 2020
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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 C003573 NC Primary

Addresses

Primary practice location

211 Virginia Rd
Edenton, NC 27932-9668

Mailing address

PO Box 629
Edenton, NC 27932-0629
Phone (252) 482-6347

Other practice location 1

1403 S King St
Windsor, NC 27983-9666
Phone (252) 794-6754

Other practice location 2

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 482-6347

Other names 1

  • Miss Laurie Jean Halsey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040715001112 NC Practitioner - Clinical Social Worker 6103805940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Mar 8, 2022 Accepting new patients
Albemarle Mental Health Center Past Accepting new patients

Locations

211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

101 Clinic Dr
Tarboro, NC 27886
Phone (252) 823-2105

1403 S King St
Windsor, NC 27983
Phone (252) 794-6685

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1215564851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279320629",
            "telephone_number": "252-482-6347",
            "fax_number": "252-482-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 VIRGINIA RD",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279329668",
            "telephone_number": "252-482-6347",
            "fax_number": "252-482-6381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1403 S King St",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "NC",
            "postal_code": "279839666",
            "country_code": "US",
            "telephone_number": "252-794-6754",
            "fax_number": "252-794-6784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Stantonsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342818",
            "country_code": "US",
            "telephone_number": "252-482-6347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "LAURIE",
        "middle_name": "HALSEY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "HALSEY",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edenton, NC

Sources for this page

Verify at the official NPI Registry.