Individual provider Active NPI

Adriana Von Simson

  • Clinical Social Worker
  • Key Biscayne, FL
National Provider Identifier
1407458870
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11838 Issued in FL
Practice address
240 Crandon Blvd Ste 206
Key Biscayne, FL 33149-1543
Phone
(305) 335-8059
NPI assigned
Nov 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW11838 FL Primary

Addresses

Primary practice location

240 Crandon Blvd Ste 206
Key Biscayne, FL 33149-1543

Mailing address

101 Ocean Lane Dr Apt 2012
Key Biscayne, FL 33149-1448
Phone (305) 335-8059

Other names 1

  • Adriana Melhem de Von Simson Professional name

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

LicenseStateTypeSpecialty
SW11838FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1407458870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OCEAN LANE DR APT 2012",
            "city": "KEY BISCAYNE",
            "state": "FL",
            "postal_code": "331491448",
            "telephone_number": "305-335-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CRANDON BLVD STE 206",
            "city": "KEY BISCAYNE",
            "state": "FL",
            "postal_code": "331491543",
            "telephone_number": "305-335-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON SIMSON",
        "first_name": "ADRIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIANA",
            "last_name": "MELHEM DE VON SIMSON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Key Biscayne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.