NPIMap

Organization Active NPI

Steven G Simon LCSW LLC

  • Clinical Social Worker
  • Hamden, CT
National Provider Identifier
1679895072
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005897 Issued in CT
Legal business name
STEVEN G SIMON LCSW LLC
Practice address
2348 Whitney Ave
Suite 2
Hamden, CT 06518-3512
Phone
(203) 287-2488
Fax
(203) 287-9133
NPI assigned
Feb 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Mr. Steven Gary Simon, L.C.S.W.NPI 1386656254
Title
Owner
Phone
(203) 287-2488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 005897 CT Primary

Addresses

Primary practice location

2348 Whitney Ave
Suite 2
Hamden, CT 06518-3512

Mailing address

2348 Whitney Ave
Suite 2
Hamden, CT 06518-3512
Phone (203) 287-2488

Other names 1

  • Steven G. Simon, LCSW Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100510000311 CT Part B Supplier - Clinic/Group Practice 8628106838 Receives reassigned benefits from 2 practitioners
Practice locations: Hamden, CT

National Provider Directory

National Provider Directory

Locations

2348 Whitney Ave
Ste 2
New Haven, CT 06518
Phone (203) 287-2488

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1679895072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2348 WHITNEY AVE",
            "address_2": "SUITE 2",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183512",
            "telephone_number": "203-287-2488",
            "fax_number": "203-287-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2348 WHITNEY AVE",
            "address_2": "SUITE 2",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183512",
            "telephone_number": "203-287-2488",
            "fax_number": "203-287-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN G SIMON LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-287-2488",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steven G. Simon, LCSW",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.