Simone Burke-Cousins, LMSW
Individual provider Active NPI Social Worker · Newark, DE
NPI 1740969229 · NPPES record last updated Jul 13, 2023
Key facts
- NPI
- 1740969229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- Q3-0011261 (DE)
- Practice address
- 7 La Rochelle CT
Newark, DE 19702-5537 - Phone
- (347) 549-6527
- NPI assigned
- Jul 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q3-0011261 | DE | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Q3-0011261 | DE | Yes |
Addresses
Primary practice location
7 La Rochelle CT
Newark, DE 19702-5537
Mailing address
7 La Rochelle CT
Newark, DE 19702-5537
NPI Registry JSON
{
"created_epoch": "1689206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1740969229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 LA ROCHELLE CT",
"city": "NEWARK",
"state": "DE",
"postal_code": "197025537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 LA ROCHELLE CT",
"city": "NEWARK",
"state": "DE",
"postal_code": "197025537",
"telephone_number": "347-549-6527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE-COUSINS",
"first_name": "SIMONE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-13",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DE",
"license": "Q3-0011261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.