Ivena Simplice-Colin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW83231 Issued in CA

Practice address

2380 Salvio St Ste 200
Concord, CA 94520

Phone

(925) 602-1750

NPI assigned

Dec 6, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pacific Clinics

  • Community/Behavioral Health Agency
  • Concord, CA
  • NPI 1023730918
  NPD (past)

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

{
    "created_epoch": "1449360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1265807051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 SALVIO ST STE 200",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202193",
            "telephone_number": "925-602-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 SALVIO ST STE 200",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94520",
            "telephone_number": "925-602-1750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Detroit Ave Apt 212",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945203553",
            "country_code": "US",
            "telephone_number": "305-342-1330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5801 Eubank Blvd NE Apt 49",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871116183",
            "country_code": "US",
            "telephone_number": "305-342-1330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1441 Detroit Ave Apt 212",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945203553",
            "country_code": "US",
            "telephone_number": "305-342-1330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPLICE-COLIN",
        "first_name": "IVENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-06",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "X-09414",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW83231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ASW83231",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X-09414",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Victor Simon, M.D.
• Heaven Simon
• Amanda Mae Simonich
• Juanyae Simonton
• Ila Simos
• Bobbi Simpson
• Hurley Kevon Gregory White Simpson
• Lauren Simpson
• Maya Luciana Simpson
• Stephanie Lynn Simpson, PSY.D.

• Clinical Social Worker in Concord, CA
• Providers in Concord, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.