Active NPI
Angela Lee Simmons, LCSW
- Clinical Social Worker
- Gainesville, FL
National Provider Identifier
1720291933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3345
- Practice address
- 7019 NW 11TH PL
Gainesville, FL 32605-3145 - Phone
- (352) 376-1611
- Fax
- (352) 379-4082
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3345 | KY | Primary |
Addresses
Primary practice location
7019 NW 11TH PL
Gainesville, FL 32605-3145
Mailing address
4455 SW 34TH St
Apt. B15
Gainesville, FL 32608-7582
Phone (502) 291-4121
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3345 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381449600000",
"number": "1720291933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 SW 34TH ST",
"address_2": "APT. B15",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326087582",
"telephone_number": "502-291-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7019 NW 11TH PL",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326053145",
"telephone_number": "352-376-1611",
"fax_number": "352-379-4082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "ANGELA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2013-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "3345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.