Individual provider Active NPI

Venus Simms, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1548726078
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18426 Issued in MD
Practice address
312 Scott St
Baltimore, MD 21230-2105
Phone
(817) 721-3997
NPI assigned
Feb 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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 18426 MD Primary

Addresses

Primary practice location

312 Scott St
Baltimore, MD 21230-2105

Mailing address

312 Scott St
Baltimore, MD 21230-2105
Phone (817) 721-3997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190930002690 MD Practitioner - Clinical Social Worker 9335479625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Health Systems, Inc.Group PAC ID 8729010228, 2 clinicians

Practice addresses (Care Compare)

2300 Garrison Blvd
Suite 104
Baltimore, MD 21216-2308
Phone (410) 233-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Health Systems, Inc. CurrentSince Sep 6, 2019 Accepting new patients
Beautifully Broken, LLC Clinical CurrentSince Mar 11, 2025 Accepting new patients

Locations

2300 Garrison Blvd
Ste 104
Baltimore, MD 21216
Phone (410) 233-6200

Organizations & group practices 2

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": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1548726078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SCOTT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212302105",
            "telephone_number": "817-721-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 SCOTT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212302105",
            "telephone_number": "817-721-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "VENUS",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.