Heidi Jolene Simon, LICSW
Individual provider Active NPI Clinical Social Worker · Montgomery, MN
NPI 1457069643 · NPPES record last updated Nov 14, 2022
Key facts
- NPI
- 1457069643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 14197 (MN)
- Practice address
- 9733 Kent Ave
Montgomery, MN 56069-4903 - Phone
- (612) 227-9310
- NPI assigned
- Nov 7, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14197 | MN | Yes |
Addresses
Primary practice location
9733 Kent Ave
Montgomery, MN 56069-4903
Mailing address
9733 Kent Ave
Montgomery, MN 56069-4903
Phone (612) 227-9310
Other providers in Montgomery, MN
- Susan M Rabenber
- Caitlyn Elizabeth Ramberg
- Recoveryde LLC
- Sapphire Counseling & Therapeutic
- Mary Lee Schrader
- Southern Minnesota Sleep Center, PLLC
- Spirits at Rest
- Kellee N. K. Stanton
- Alexandria Stepka
- Sunrise Farm, Inc.
All providers in Montgomery, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.