Jeffrey Donald Siemsen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW016873 Issued in PA

Practice address

107 Marshall Bridge Rd
Kennett Square, PA 19348-2705

Phone

(302) 521-3019

Fax

(610) 444-0226

NPI assigned

Nov 20, 2008

Last updated

Sep 26, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1629223490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MARSHALL BRIDGE RD",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482705",
            "telephone_number": "302-521-3019",
            "fax_number": "610-444-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MARSHALL BRIDGE RD",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482705",
            "telephone_number": "302-521-3019",
            "fax_number": "610-444-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEMSEN",
        "first_name": "JEFFREY",
        "middle_name": "DONALD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-20",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Sheptock, DO
• Matthew Shields, PTA
• Brian Shive, MPT
• Richard Dale Shoaff, RRT
• Jennifer Lynn Shrager, MD
• Damaris Silva-Lopez, PA-C
• Leigh T Simpkins, CRNP
• Lynn Sipes, OT
• Christopher Slabek
• Elizabeth Ann Smith, CCC-SLP

• Clinical Social Worker in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.