Individual provider Active NPI

Crystal Elizabeth Sterling Simmons, MSW, LCSW

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1659691996
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004137 Issued in NC
Practice address
16 Autrey Mill Cir
Durham, NC 27703-6681
Phone
(919) 697-6596
Fax
(919) 596-3994
NPI assigned
Jun 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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 C004137 NC Primary

Addresses

Primary practice location

16 Autrey Mill Cir
Durham, NC 27703-6681

Mailing address

16 Autrey Mill Cir
Durham, NC 27703-6681
Phone (919) 697-6596

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
C004137NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1659691996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 AUTREY MILL CIR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036681",
            "telephone_number": "919-697-6596",
            "fax_number": "919-596-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 AUTREY MILL CIR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036681",
            "telephone_number": "919-697-6596",
            "fax_number": "919-596-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERLING SIMMONS",
        "first_name": "CRYSTAL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.