Deborah Simonis LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DEBORAH SIMONIS LCSW

Practice address

2426 W Cornerstone CT
Peoria, IL 61614-2492

Phone

(309) 750-2828

Fax

(309) 200-0218

NPI assigned

Aug 7, 2015

Organization subpart

No

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

Authorized official

Name

Deborah Jean Simonis-Gayed, LCSW, IBECPTSNPI 1982844841

Title

Child and Family Psychotherapist

Phone

(309) 750-2828

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Jean Simonis-Gayed, LCSW, MS EDU, MSW

  • Social Worker
  • Peoria, IL
  • NPI 1982844841
  NPD (past) Authorized official

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1881070290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 E BULLOCK ST",
            "city": "EUREKA",
            "state": "IL",
            "postal_code": "615301256",
            "telephone_number": "309-750-2828",
            "fax_number": "309-200-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 W CORNERSTONE CT",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142492",
            "telephone_number": "309-750-2828",
            "fax_number": "309-200-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH SIMONIS LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "SIMONIS-GAYED",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CHILD AND FAMILY PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "309-750-2828",
        "authorized_official_credential": "LCSW, IBECPTS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra De la Rosa Perez, PA-C
• Edna Elizabeth Dean, LCSW
• Ellyn Dearing, M.S., CFY-SLP
• Jenelle Deatherage, PT
• Elizabeth Debernardi, PT
• Alan Debord, MD
• James R Debord, MD
• Anthony V Deceanne, DPM
• Arleta Dedianous, APRN
• Fizza Deen, MD

• Clinical Social Worker in Peoria, IL
• Providers in Peoria, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.