Active NPI
Chana Simmonds, MSW, LCSW
- Clinical Social Worker
- Teaneck, NJ
National Provider Identifier
1235453861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R025403-1
- Practice address
- 878 Queen Anne Rd
Teaneck, NJ 07666-4623 - Phone
- (201) 836-1776
- Fax
- (201) 836-1357
- NPI assigned
- Mar 25, 2010
- Last updated
- Mar 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R025403-1 | NY | Primary |
| Clinical Social Worker | 1041C0700X | 44SCO4521900 | NJ |
Addresses
Primary practice location
878 Queen Anne Rd
Teaneck, NJ 07666-4623
Mailing address
878 Queen Anne Rd
Teaneck, NJ 07666-4623
Phone (201) 836-1776
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SCO4521900 | NJ | MD | Clinical Social Worker |
| R025403-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1235453861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "878 QUEEN ANNE RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664623",
"telephone_number": "201-836-1776",
"fax_number": "201-836-1357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "878 QUEEN ANNE RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664623",
"telephone_number": "201-836-1776",
"fax_number": "201-836-1357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONDS",
"first_name": "CHANA",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-25",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R025403-1",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SCO4521900",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.