Angie M. Simonton

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7555 Issued in LA

Practice address

5001 Highway 190 East Service Rd Ste D4-5
Covington, LA 70433

Phone

(985) 317-4319

Fax

(855) 203-0537

NPI assigned

Sep 9, 2010

Last updated

Jan 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Angie M. Massicot Former name

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1841507076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MARINERS PLAZA DR STE 704A",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484799",
            "telephone_number": "985-317-4319",
            "fax_number": "855-203-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 HIGHWAY 190 EAST SERVICE RD STE D4-5",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-317-4319",
            "fax_number": "855-203-0537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14500 Hayne Blvd",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701281751",
            "country_code": "US",
            "telephone_number": "985-792-7451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONTON",
        "first_name": "ANGIE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "7555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2421875",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "MASSICOT",
            "middle_name": "M.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandon Deann Simon-Davis, MD
• John C Simon, MD
• Suzanne Theriot Simon, LCSW
• Garrett Michael Simoneaux, PA-C
• Keli Carver Simoneaux, LPC
• Josephine Elizabeth Sims, FNP-C
• Sarah K Sims
• Daniel Sinclair, MD
• Kathleen Singh, FNP-C
• Joseph Leonard Singleton, M.D.

• Clinical Social Worker in Covington, LA
• Providers in Covington, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.