Sheila Simchon, LCSW, LSP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17495 Issued in FL

Practice address

3601 N Park Rd
Hollywood, FL 33021-2529

Phone

(917) 583-7331

NPI assigned

Oct 5, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 26, 2024 through Mar 26, 2028

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 and National Provider Directory roles.

• Psychology Support Center

  • Clinical Social Worker
  • Hollywood, FL
  • NPI 1861099616

  School

  NPD Authorized official

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1326645177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 N PARK RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 N PARK RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212529",
            "telephone_number": "917-583-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMCHON",
        "first_name": "SHEILA",
        "credential": "LCSW, LSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "1350",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "17495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yarlin De la Caridad Silverio Gonzalez
• Debra Silverman, RDN
• Layla Silverman, RD, CSO, LDN
• Marvin Silverman, ED.D.
• Kerry S Siman-Tov, PT
• Blake Simmons, M.S.
• Robin Gayle Simon-Mark, D.O.
• Cesar Simon
• Leonard Simon, MD
• Ornelise M Simon

• Clinical Social Worker in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.