Katie L Simon LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KATIE L SIMON LCSW

Practice address

1137 S Bernard Rd Ste A1006
Broussard, LA 70518-5374

Phone

(337) 306-4540

NPI assigned

Sep 29, 2023

Organization subpart

No

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

Authorized official

Name

Katie Lynn Simon, LCSWNPI 1548929698

Title

Owner

Phone

(337) 306-4540

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katie Lynn Simon, LCSW

  • Clinical Social Worker
  • Broussard, LA
  • NPI 1548929698
  NPD Authorized official

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1336929108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 S BERNARD RD STE A1006",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705185374",
            "telephone_number": "337-306-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 S BERNARD RD STE A1006",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705185374",
            "telephone_number": "337-306-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE L SIMON LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-306-4540",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Broussard, LA
• Providers in Broussard, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.