Individual provider Active NPI

Jenny Simpson, LMSW

  • Clinical Social Worker
  • Baxter Springs, KS
National Provider Identifier
1265005029
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06328 Issued in KS
Practice address
2990 Military Ave
Baxter Springs, KS 66713-2331
Phone
(620) 856-2900
NPI assigned
Jul 20, 2021
Last updated
May 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 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 06328 KS Primary

Addresses

Primary practice location

2990 Military Ave
Baxter Springs, KS 66713-2331

Mailing address

PO Box 1832
Pittsburg, KS 66762-1832
Phone (620) 240-5668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20240401002258 KS Practitioner - Clinical Social Worker 7012355753 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06328KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Southeast Kansas Inc CurrentSince Feb 28, 2024 Accepting new patients
Community Health Center of Southeast Kansas Inc Current Accepting new patients
Community Health Center of Southeast Kansas, Inc. CurrentSince Feb 28, 2024 Accepting new patients

Locations

2990 Military Ave
Baxter Springs, KS 66713
Phone (620) 856-2900

1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575

1223 Swan Dr
Bartlesville, OK 74006
Phone (918) 214-8081

106 NW Veterans Blvd
Miami, OK 74354
Phone (918) 238-2410

Organizations & group practices 3

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1265005029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1832",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667621832",
            "telephone_number": "620-240-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 MILITARY AVE",
            "city": "BAXTER SPRINGS",
            "state": "KS",
            "postal_code": "667132331",
            "telephone_number": "620-856-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JENNY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter Springs, KS

Sources for this page

Verify at the official NPI Registry.