Eli Philip Simmons

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801120530 Issued in MI

Practice address

5370 Miller Rd Ste 21
Swartz Creek, MI 48473-1542

Phone

(810) 350-8872

NPI assigned

May 21, 2021

Sex

Male

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": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1831764042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 W FARRAND RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201014",
            "telephone_number": "810-350-8872",
            "fax_number": "810-337-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5370 MILLER RD STE 21",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484731542",
            "telephone_number": "810-350-8872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 S Elm St # 2",
            "address_purpose": "LOCATION",
            "city": "Owosso",
            "state": "MI",
            "postal_code": "488672636",
            "country_code": "US",
            "telephone_number": "810-350-8872",
            "fax_number": "810-337-9417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 N Campbell Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480671555",
            "country_code": "US",
            "telephone_number": "810-350-8872",
            "fax_number": "810-337-9417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "ELI",
        "middle_name": "PHILIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-21",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801120530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Swartz Creek, MI
• Providers in Swartz Creek, 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 15, 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.