Phyllis Davis-Simmons, B.S.W., B.S.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6802064201 Issued in MI

Practice address

1151 Taylor St
Room 332-C
Detroit, MI 48202-1732

Phone

(313) 876-0360

NPI assigned

Aug 22, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Phyllis Davis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1285881086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 TAYLOR ST",
            "address_2": "BLDG 6, ROOM 108",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021732",
            "telephone_number": "313-876-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 TAYLOR ST",
            "address_2": "ROOM 332-C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021732",
            "telephone_number": "313-876-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-SIMMONS",
        "first_name": "PHYLLIS",
        "name_prefix": "Mrs.",
        "credential": "B.S.W., B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802064201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLLIS",
            "last_name": "DAVIS",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yvette Davidson, MA
• Davis Cut Rate Drugs Inc.
• Uolanda Tyshan Davis-Campbell
• Sheila Joyce Davis-Hines
• Tamika Lee Davis-Moore, LLP
• Adam Davis
• Alana Davis, LLMSW
• Alexstine Q Davis
• Alta Davis, LPC
• Anthony Louis Davis, CADC-1

• Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.