Individual provider Active NPI

Debra R. Simmons, MSW

  • Social Worker
  • Flint, MI
National Provider Identifier
1336276294
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
3027 Ayre CT
Flint, MI 48506-5402
Phone
(810) 252-4609
NPI assigned
Feb 27, 2007
Last updated
May 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
750910736OtherMIBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122000236 MI Practitioner - Clinical Social Worker 7618932427 Reassigns benefits to 3 organizations

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
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

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

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Hurley Medical Center CurrentSince Feb 1, 2004 Accepting new patients
Hurley Medical Center Current Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince May 19, 2021 Accepting new patients
Hurley Medical Center Clinical CurrentSince Feb 1, 2004 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.

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

Verify at the official NPI Registry.