Individual provider Active NPI

Ashley Simos, LMSW

  • Social Worker
  • Wantagh, NY
National Provider Identifier
1295222032
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
102865 Issued in NY
Practice address
3375 Park Ave Ste 2005
Wantagh, NY 11793-3712
Phone
(516) 781-1911
Fax
(516) 781-1173
NPI assigned
Apr 17, 2018
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 102865 NY Primary

Addresses

Primary practice location

3375 Park Ave Ste 2005
Wantagh, NY 11793-3712

Mailing address

175 Fulton Ave Ste 403
Hempstead, NY 11550-3702
Phone (516) 486-3222

Other practice location 1

175 Fulton Ave Ste 403
Hempstead, NY 11550-3702
Phone (516) 486-3222

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
102865NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Education and Assistance Corporation Past Accepting new patients
Eac Inc Past Accepting new patients

Organizations & group practices 2

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1295222032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FULTON AVE STE 403",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503702",
            "telephone_number": "516-486-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 PARK AVE STE 2005",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933712",
            "telephone_number": "516-781-1911",
            "fax_number": "516-781-1173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Fulton Ave Ste 403",
            "address_purpose": "LOCATION",
            "city": "Hempstead",
            "state": "NY",
            "postal_code": "115503702",
            "country_code": "US",
            "telephone_number": "516-486-3222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMOS",
        "first_name": "ASHLEY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "102865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.