Active NPI
Carletta Simmons, LMSW
- Social Worker
- Brooklyn, NY
National Provider Identifier
1720725112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 111473
- Practice address
- 38 6TH Ave Apt 1412
Brooklyn, NY 11217-4241 - Phone
- (347) 385-5509
- NPI assigned
- May 17, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 111473 | NY | Primary |
Addresses
Primary practice location
38 6TH Ave Apt 1412
Brooklyn, NY 11217-4241
Mailing address
38 6TH Ave Apt 1412
Brooklyn, NY 11217-4241
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111473 | Other | NY | NYS LICENSE NUMBER |
| 4BE74FP5EI | Other | NASW INSURANCE COMPANY RRG |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 347-541-2246 | ||
| Direct Messaging Address | Csimmons@nycja.org |
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 |
|---|---|---|---|
| 111473 | NY | MD | Social Worker |
Interoperability endpoints
- csimmons@nycja.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1720725112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 6TH AVE APT 1412",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112174241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 6TH AVE APT 1412",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112174241",
"telephone_number": "347-385-5509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "CARLETTA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-17",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "111473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE NUMBER",
"identifier": "111473",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NASW INSURANCE COMPANY RRG",
"identifier": "4BE74FP5EI",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "347-541-2246",
"affiliation": "N",
"address_1": "38 6th Ave Apt 1412",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112174241",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Csimmons@nycja.org",
"affiliation": "N",
"address_1": "2976 Northern Blvd",
"city": "Long Island City",
"state": "NY",
"country_code": "US",
"postal_code": "111012822",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.