Susan Melinda Simpson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12057 Issued in MN

Practice address

2450 Riverside Ave S.
F29 Adult Day Treatment
Minneapolis, MN 55454

Phone

(612) 273-9115

Fax

(612) 273-9110

NPI assigned

Aug 31, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Susan Melinda Seigworth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1699081489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE S.",
            "address_2": "F29 ADULT DAY TREATMENT",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55454",
            "telephone_number": "612-273-9115",
            "fax_number": "612-273-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE S.",
            "address_2": "F29 ADULT DAY TREATMENT",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55454",
            "telephone_number": "612-273-9115",
            "fax_number": "612-273-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "SUSAN",
        "middle_name": "MELINDA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "12057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SEIGWORTH",
            "middle_name": "MELINDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maisie Kate Simpson
• Margaret L Simpson, MD
• Mark Daniel Simpson, LICSW
• Nicholas S Simpson, MD
• Ross W Simpson, MD
• Charles Wesley Sims, DDS
• Danelle Sims
• Jozette Sims, CCHW
• Karissa Soraya Simyab, PA
• Chantel Elyse Sina, CNP

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.