Individual provider Active NPI

Amy Elizabeth Simmons, MSW

  • Clinical Social Worker
  • Beckley, WV
National Provider Identifier
1447792718
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BP00944675 Issued in WV
Practice address
28 Mallard CT
Beckley, WV 25801
Phone
(304) 252-8409
NPI assigned
Nov 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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 BP00944675 WV Primary

Addresses

Primary practice location

28 Mallard CT
Beckley, WV 25801

Mailing address

28 Mallard CT
Beckley, WV 25801-3664
Phone (304) 252-8409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190723002764 WV Practitioner - Clinical Social Worker 5597091900 Reassigns benefits to 1 organization
I20250709001267 GA Practitioner - Clinical Social Worker 5597091900 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BP00944675WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems, Inc. CurrentSince Jun 25, 2019 Accepting new patients
Community Health Systems Inc CurrentSince Jun 25, 2019 Accepting new patients
Sunny Days Therapeutics Clinical CurrentSince Jun 13, 2025 Accepting new patients

Locations

1691 Meriweather Dr
Ste 109
Watkinsville, GA 30677
Phone (706) 883-5300

1691 Meriweather Dr
Ste 107
Watkinsville, GA 30677
Phone (706) 883-5300

101 Bill Baker Way
Beckley, WV 25801

28 Mallard Ct
Beckley, WV 25801
Phone 30425283241840

252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551

Organizations & group practices 3

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": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1447792718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MALLARD CT",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013664",
            "telephone_number": "304-252-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MALLARD CT",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801",
            "telephone_number": "304-252-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "BP00944675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.