Individual provider Active NPI

Jonathan Charles Simmen, LCSW, LSW, MSW

  • Clinical Social Worker
  • New Kensington, PA
National Provider Identifier
1386286458
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020847 Issued in PA
Practice address
310 Central City PLZ
New Kensington, PA 15068-6441
Phone
(724) 335-9883
NPI assigned
Oct 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW020847 PA Primary

Addresses

Primary practice location

310 Central City PLZ
New Kensington, PA 15068-6441

Mailing address

310 Central City PLZ
New Kensington, PA 15068-6441

Other names 1

  • Jonathan Charles Simmen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200128002501 PA Practitioner - Clinical Social Worker 8729414446 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Persoma P.C. CurrentSince Apr 3, 2020 Accepting new patients

Locations

300 Oxford Dr
Ste 110
Monroeville, PA 15146
Phone 4128235155801

2540 Monroeville Blvd
Monroeville, PA 15146
Phone (412) 206-1411

401 Shady Ave
Ste B207
Pittsburgh, PA 15206
Phone (240) 285-6507

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1386286458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CENTRAL CITY PLZ",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CENTRAL CITY PLZ",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686441",
            "telephone_number": "724-335-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMEN",
        "first_name": "JONATHAN",
        "middle_name": "CHARLES",
        "credential": "LCSW, LSW, MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONATHAN",
            "last_name": "SIMMEN",
            "middle_name": "CHARLES",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Kensington, PA

Sources for this page

Verify at the official NPI Registry.