Active NPI
Kimberly Lateisha Griffin-Simmonds
- Social Worker
- Hudson, NY
National Provider Identifier
1407383979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 100919-01
- Practice address
- 160 Fairview Ave Ste 99
Hudson, NY 12534-8404 - Phone
- (518) 965-7407
- NPI assigned
- May 16, 2017
- Last updated
- Apr 22, 2026
- 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 | 100919-01 | NY | Primary |
Addresses
Primary practice location
160 Fairview Ave Ste 99
Hudson, NY 12534-8404
Mailing address
160 Fairview Ave Ste 99
Hudson, NY 12534-8404
Phone (518) 965-7407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100919-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1407383979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 FAIRVIEW AVE STE 99",
"city": "HUDSON",
"state": "NY",
"postal_code": "125348404",
"telephone_number": "518-965-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 FAIRVIEW AVE STE 99",
"city": "HUDSON",
"state": "NY",
"postal_code": "125348404",
"telephone_number": "518-965-7407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN-SIMMONDS",
"first_name": "KIMBERLY",
"middle_name": "LATEISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-16",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "100919-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.