Shaa-Ista Simmons-Wilcox, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801106740 Issued in MI

Practice address

15812 Charleston Dr
Clinton TWP, MI 48038-1018

Phone

(313) 658-3109

NPI assigned

Apr 10, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Touching Souls

  • Clinical Social Worker
  • Sterling Heights, MI
  • NPI 1437023835
  NPD Authorized official

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1699394544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15812 CHARLESTON DR",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381018",
            "telephone_number": "313-658-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15812 CHARLESTON DR",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381018",
            "telephone_number": "313-658-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS-WILCOX",
        "first_name": "SHAA-ISTA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssimmons@vna.org",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15812 Charleston Dr",
            "city": "Clinton Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480381018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Steven D Shoha, D.D.S.
• Marvin Shulman, MD, PC
• Claire Rebecca Sickon, PT
• Bailey Sikora, MOT, OTR/L
• Silver Circle Counseling and Therapeutic Services, PLLC
• Moira Kennedy Simms, PH.D, ACSW, LMFT
• Michael E Simony, DDS
• Patricia Sims
• Melissa Sinishtaj
• Scott Sipp, M.D.

• Clinical Social Worker in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.