Active NPI
Betty Ann Simpson, LCSW
- Clinical Social Worker
- Fairbanks, AK
National Provider Identifier
1881624559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- AA667
- Practice address
- 912 Barnette St
Fairbanks, AK 99701-4510 - Phone
- (907) 456-4729
- Fax
- (907) 456-4623
- NPI assigned
- Jul 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | AA667 | AK | Primary |
| Clinical Social Worker | 1041C0700X | 005642 | CT |
Addresses
Primary practice location
912 Barnette St
Fairbanks, AK 99701-4510
Mailing address
55 Anna Ave
Fairbanks, AK 99701-1703
Phone (907) 457-4851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Torrington, CT 06790
Phone (855) 241-7160
150 Olde Duck Rd
Kitty Hawk, NC 27949-4533
Phone (855) 241-7160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA667 | AK | MD | Clinical Social Worker |
| 005642 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMSC Az LLC | Clinical | Current | Accepting new patients |
| BMSC NC LLC | Clinical | Current | Accepting new patients |
Locations
10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462
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": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881624559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 ANNA AVE",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997011703",
"telephone_number": "907-457-4851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 BARNETTE ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014510",
"telephone_number": "907-456-4729",
"fax_number": "907-456-4623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "BETTY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "AA667",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "005642",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.