Active NPI
Debra R. Simmons, MSW
- Social Worker
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3027 Ayre CT
Flint, MI 48506-5402 - Phone
- (810) 252-4609
- NPI assigned
- Feb 27, 2007
- Last updated
- May 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801069084 | MI | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
3027 Ayre CT
Flint, MI 48506-5402
Mailing address
3027 Ayre CT
Flint, MI 48506-5402
Phone (810) 252-4609
Other practice location 1
G-1125 S. Linden Road
Suite #210
Flint, MI 48532
Phone (810) 230-3370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 750910736 | Other | MI | BLUE SHIELD OPC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8245 Holly Rd
Suite 200
Grand Blanc, MI 48439-2483
Phone (800) 693-1916
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| Richard Kneip, PH.D., P.C. | Current | Accepting new patients | |
| Hurley Medical Center | Clinical | Current | Accepting new patients |
| Pathology Associates Inc PC | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| Hurley Medical Center | Clinical | Past | Accepting new patients |
Locations
6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 422-1430
400 Renaissance Ctr
Detroit, MI 48243
Phone (248) 277-6767
1 Hurley Plz
Fl 5
Flint, MI 48503
Phone (810) 262-9353
1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000
1085 S Linden Rd
Ste 150
Flint, MI 48532
Phone (810) 262-2100
1125 S Linden Rd
Ste 210
Flint, MI 48532
Phone (810) 230-3370
8245 Holly Rd
Ste 200
Grand Blanc, MI 48439
Phone (248) 206-5239
89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840
Organizations & group practices 8
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.
-
dba Great Lakes Psychology Group
- Community/Behavioral Health Agency
- Clarkston, MI
- NPI 1679739700
-
dba Hurley Clinical Social Worker
- Clinical Social Worker
- Flint, MI
- NPI 1457571200
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
MI
-
dba Hurley CRNA Group
- Certified Registered Nurse Anesthetist
- Flint, MI
- NPI 1558397653
-
- Plastic and Reconstructive Surgery Physician
- Flint, MI
- NPI 1689345761
-
dba Hurley Emergency Room Physicians
- Emergency Medicine Physician
- Flint, MI
- NPI 1831140367
-
- Anatomic Pathology & Clinical Pathology Physician
- Flint, MI
- NPI 1922116094
-
dba Hurley Mental Health OPC
- Child & Adolescent Psychiatry Physician
- Flint, MI
- NPI 1700058146
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1336276294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3027 AYRE CT",
"city": "FLINT",
"state": "MI",
"postal_code": "485065402",
"telephone_number": "810-252-4609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3027 AYRE CT",
"city": "FLINT",
"state": "MI",
"postal_code": "485065402",
"telephone_number": "810-252-4609"
}
],
"practiceLocations": [
{
"address_1": "G-1125 S. Linden Road",
"address_2": "Suite #210",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "48532",
"country_code": "US",
"telephone_number": "810-230-3370",
"fax_number": "810-230-3376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "DEBRA",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801069084",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OPC",
"identifier": "750910736",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.