Angela Simmons LLC
Organization Active NPI Clinical Social Worker · Frankfort, KY
NPI 1669985800 · NPPES record last updated Nov 6, 2020
Key facts
- NPI
- 1669985800
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1106 (KY)
- Legal business name
- ANGELA SIMMONS LLC
- Practice address
- 130 Kings Daughters Dr
Frankfort, KY 40601-4248 - Phone
- (502) 219-7762
- Fax
- (502) 223-7491
- NPI assigned
- Nov 9, 2017
- Organization subpart
- No
Authorized official
- Name
- Angela DW Simmons, LCSW
- Title
- Provider/Owner
- Phone
- (859) 805-0188
Practitioners 1
-
Angela DW Simmons, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171127002147 | KY | Part B Supplier - Clinic/Group Practice | 4284991431 |
Receives reassigned benefits from 1 practitioner Practice locations: Frankfort, KY; Versailles, KY |
National Provider Directory
Locations
205 Frankfort St
Versailles, KY 40383
Phone (859) 805-0188
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 1106 | KY | Yes |
Addresses
Primary practice location
130 Kings Daughters Dr
Frankfort, KY 40601-4248
Mailing address
209 Cardinal Ave
Versailles, KY 40383-1113
Phone (859) 805-0188
Other practice location 1
4229 Bardstown Rd Ste 311
Louisville, KY 40218-3299
Phone (502) 499-8010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100628820 | Medicaid | KY |
Other providers in Frankfort, KY
- Megan L Anderson
- Rosemary Anderson
- Timothy K Anderson
- Andrea Sparrow, LLC
- Andrew G. Bustin, M.D., PLLC
- Angelopoulos Chiropractic Prof. Corp.
- Athanasia A. Angelopoulos
- Vasiliki Angelopoulos
- Irfan Ansari
- Kaleigh L Anthony
All providers in Frankfort, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.