Individual provider Active NPI

Bridgette Anne Simmons, LMSW

  • Clinical Social Worker
  • Middletown, NY
National Provider Identifier
1770604167
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08358-1 Issued in NY
Practice address
41 Dolson Ave
Middletown, NY 10940-6489
Phone
(845) 342-5789
Fax
(845) 344-0510
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 08358-1 NY Primary

Addresses

Primary practice location

41 Dolson Ave
Middletown, NY 10940-6489

Mailing address

41 Dolson Ave Ste D
Middletown, NY 10940-6440
Phone (845) 344-6125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210106002995 NY Practitioner - Clinical Social Worker 5395098784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

81 Prospect Ave
Middletown, NY 10940-4031
Phone (845) 343-5789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08358-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgette a. Simmons LCSW PC Clinical CurrentSince Aug 25, 2020 Accepting new patients
Ratna Sabnis MD PLLC PastSince Aug 25, 2020 Accepting new patients

Locations

41 Dolson Ave
Middletown, NY 10940
Phone (845) 342-5789

41 Dolson Ave
Ste D
Middletown, NY 10940

81 Prospect Ave
Middletown, NY 10940
Phone (845) 341-0081

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1770604167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 DOLSON AVE STE D",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406440",
            "telephone_number": "845-344-6125",
            "fax_number": "845-344-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 DOLSON AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406489",
            "telephone_number": "845-342-5789",
            "fax_number": "845-344-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "BRIDGETTE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "08358-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.