Jennifer Enith Simmons, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

101424 Issued in NY

Practice address

1841 Brentwood Rd
Brentwood, NY 11717-4625

Phone

(631) 853-7300

Fax

(631) 853-7301

NPI assigned

May 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Enith Simmons Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1527292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527292800000",
    "number": "1346731270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 GRAND AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573110",
            "telephone_number": "631-942-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 BRENTWOOD RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174625",
            "telephone_number": "631-853-7300",
            "fax_number": "631-853-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JENNIFER",
        "middle_name": "ENITH",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-26",
        "last_updated": "2018-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "101424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SIMMONS",
            "middle_name": "ENITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dawn Elayne Shedrick, LCSW
• Gillian Shelby
• Dil Ara Siddika, MD,DO
• Bessie Sidoo, LPN
• Elizabeth Sill, N.P.
• Joseph Anthony Simonetti, D.D.S.
• Scott Anthony Simonetti, D.D.S
• Shatevia Simpson Hickson
• Marion June Simpson-Sears, MA CCC LSP.
• Aja Leanna Sims, LPN

• Social Worker in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2018; 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.