Individual provider Active NPI

Lori Whitney Sims, LCSW

  • Clinical Social Worker
  • Blue Ridge, GA
National Provider Identifier
1295194637
Registry record updated Feb 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005705 Issued in GA
Practice address
9757 Blue Ridge Dr
Blue Ridge, GA 30513-4167
Phone
(706) 455-2490
Fax
(706) 946-6574
NPI assigned
Feb 13, 2016
Last updated
Feb 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2016

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 CSW005705 GA Primary

Addresses

Primary practice location

9757 Blue Ridge Dr
Blue Ridge, GA 30513-4167

Mailing address

9757 Blue Ridge Dr
Blue Ridge, GA 30513-4167
Phone (706) 455-2490

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

LicenseStateTypeSpecialty
CSW005705GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1455321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455321600000",
    "number": "1295194637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9757 BLUE RIDGE DR",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134167",
            "telephone_number": "706-455-2490",
            "fax_number": "706-946-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9757 BLUE RIDGE DR",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134167",
            "telephone_number": "706-455-2490",
            "fax_number": "706-946-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "LORI",
        "middle_name": "WHITNEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-13",
        "last_updated": "2016-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2016; 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.