Individual provider Active NPI

Nikki Daniell Simpkins-Watson

  • Clinical Social Worker
  • Fresh Meadows, NY
National Provider Identifier
1467181461
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092338 Issued in NY
Practice address
19605B 67TH Ave Apt 3a
Fresh Meadows, NY 11365-3917
Phone
(917) 450-6288
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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 092338 NY Primary

Addresses

Primary practice location

19605B 67TH Ave Apt 3a
Fresh Meadows, NY 11365-3917

Mailing address

19605B 67TH Ave Apt 3a
Fresh Meadows, NY 11365-3917
Phone (917) 450-6288

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
092338NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1467181461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19605B 67TH AVE APT 3A",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653917",
            "telephone_number": "917-450-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19605B 67TH AVE APT 3A",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653917",
            "telephone_number": "917-450-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPKINS-WATSON",
        "first_name": "NIKKI",
        "middle_name": "DANIELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.