Shelley E.M. Simmons, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5642-C Issued in AR

Practice address

3729 N Crossover Rd Ste 103
Fayetteville, AR 72703-5538

Phone

(479) 427-0646

NPI assigned

Aug 1, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1750017752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3729 N CROSSOVER RD STE 103",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035538",
            "telephone_number": "479-427-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3729 N CROSSOVER RD STE 103",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035538",
            "telephone_number": "479-427-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "SHELLEY",
        "middle_name": "E.M.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "5642-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jane Simmons Brown, OD
• Candice Simmons, PHARM.D.
• Jessica Skye Simmons
• John P. Simmons, M.D.
• Sandra K Simmons, APRN
• Thomas Godon Simmons, P.A.
• Thomas J Simmons, M.D.
• Madison Simon, RD
• Vita Kristina Simpkins-Spain, D.C.
• Brandi Anne Simpson

• All providers in Fayetteville, AR
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.