Active NPI
Phylicia B Sims
- Social Worker
- Lanham, MD
National Provider Identifier
1346749082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 23536
- Practice address
- 9701 Philadelphia CT Ste R
Lanham, MD 20706-4435 - Phone
- (443) 438-6742
- NPI assigned
- Feb 8, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 23536 | MD | Primary |
Addresses
Primary practice location
9701 Philadelphia CT Ste R
Lanham, MD 20706-4435
Mailing address
9701 Philadelphia CT Ste R
Lanham, MD 20706-4435
Phone (443) 438-6742
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 383876389 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4515 Maple Rd
Morningside, MD 20746-3522
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1346749082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9701 PHILADELPHIA CT STE R",
"city": "LANHAM",
"state": "MD",
"postal_code": "207064435",
"telephone_number": "443-438-6742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9701 PHILADELPHIA CT STE R",
"city": "LANHAM",
"state": "MD",
"postal_code": "207064435",
"telephone_number": "443-438-6742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "PHYLICIA",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-08",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "23536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "383876389",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.