Individual provider Active NPI

Alvaro Jose Simmons, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1780982090
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22713 Issued in MD
Practice address
1501 W Saratoga St
Baltimore, MD 21223-1749
Phone
(410) 383-8300
Fax
(410) 383-3160
NPI assigned
Mar 10, 2011
Last updated
May 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 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 22713 MD Primary

Addresses

Primary practice location

1501 W Saratoga St
Baltimore, MD 21223-1749

Mailing address

3412 Rosedale Rd
Baltimore, MD 21215-7446
Phone (908) 309-9434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20171004000077 MD Practitioner - Clinical Social Worker 4486605987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Health Care IncGroup PAC ID 0446258487, 57 clinicians

Practice addresses (Care Compare)

1501 Division St
Baltimore, MD 21217-3121
Phone (410) 383-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22713MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Care Inc. CurrentSince Jun 24, 2019 Accepting new patients
Total Health Care Inc CurrentSince Jun 24, 2019 Accepting new patients
Heritage Health and Housing, Inc PastSince Feb 28, 2014 Accepting new patients

Locations

1111 Washington Blvd
Baltimore, MD 21230
Phone (410) 783-1859

1501 Division St
Baltimore, MD 21217
Phone (410) 735-5390

1501 W Saratoga St
Baltimore, MD 21223
Phone (410) 383-7197

2400 Kirk Ave
Baltimore, MD 21218
Phone (410) 243-1800

2401 Liberty Heights Ave
Baltimore, MD 21215
Phone (410) 233-1088

2288 Blue Water Blvd
Ste 440
Odenton, MD 21113
Phone (410) 674-7403

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJFJBD

Organizations & group practices 3

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": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1780982090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 ROSEDALE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212157446",
            "telephone_number": "908-309-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W SARATOGA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231749",
            "telephone_number": "410-383-8300",
            "fax_number": "410-383-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "ALVARO",
        "middle_name": "JOSE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-10",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.