Kisha Ladawn Simpson, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801092710 Issued in MI

Practice address

11043 Gratiot Ave
Detroit, MI 48213-1333

Phone

(313) 516-1098

NPI assigned

Jul 24, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kisha Ladawn Kelley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500854400000",
    "number": "1730602517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18688 W 13 MILE RD APT 5",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255271",
            "telephone_number": "313-516-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11043 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482131333",
            "telephone_number": "313-516-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "KISHA",
        "middle_name": "LADAWN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KISHA",
            "last_name": "KELLEY",
            "middle_name": "LADAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ann-Marie Simpson Hill
• Beverly Velma Simpson I
• Dolores Jean Simpson
• Eric Brown Simpson
• Jairocey Deon Simpson Jr.
• Lauren Simpson
• Leslie Simpson Jr.
• Luna Monique Simpson, RMA
• Mareeca Simpson
• Mark Louis Simpson, PHD, CCC/SLP

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, 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 Jul 24, 2017; 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.