Active NPI
Katie Lynn Simon, LCSW
- Clinical Social Worker
- Broussard, LA
National Provider Identifier
1548929698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14083
- Practice address
- 1137 S Bernard Rd
Suite a PMB 1006
Broussard, LA 70518 - Phone
- (337) 306-4540
- NPI assigned
- Dec 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14083 | LA | Primary |
Addresses
Primary practice location
1137 S Bernard Rd
Suite a PMB 1006
Broussard, LA 70518
Mailing address
1137 S Bernard Rd
Suite a PMB 1006
Broussard, LA 70518
Phone (337) 306-4540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14083 | Other | LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14083 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katie L Simon LCSW | Clinical | Current | Accepting new patients |
| Snyder Psychiatric Services, LLC | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Broussard, LA
- NPI 1336929108
-
- Psychiatric/Mental Health Nurse Practitioner
- Carencro, LA
- NPI 1477060515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1548929698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1137 S BERNARD RD",
"address_2": "SUITE A PMB 1006",
"city": "BROUSSARD",
"state": "LA",
"postal_code": "70518",
"telephone_number": "337-306-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1137 S BERNARD RD",
"address_2": "SUITE A PMB 1006",
"city": "BROUSSARD",
"state": "LA",
"postal_code": "70518",
"telephone_number": "337-306-4540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "KATIE",
"middle_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-15",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "14083",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "14083",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Broussard, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.