Individual provider Active NPI

Leighann Nicole Simmons, LCSW

  • Clinical Social Worker
  • Dover, DE
National Provider Identifier
1881909414
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0012199 Issued in DE
Practice address
1326 S Governors Ave Ste a
Dover, DE 19904-4800
Phone
(267) 979-7713
NPI assigned
Aug 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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 Q1-0012199 DE Primary

Addresses

Primary practice location

1326 S Governors Ave Ste a
Dover, DE 19904-4800

Mailing address

266 Green Blade Dr
Dover, DE 19904-2646
Phone (267) 979-7713

Other practice location 1

16287 Willow Creek Rd
Lewes, DE 19958-3614
Phone (302) 703-6332

Other practice location 2

121 W Loockerman St
Dover, DE 19904-7325
Phone (302) 674-1397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20230516003445 DE Practitioner - Clinical Social Worker 4183080237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1326 S Governors Ave
Suite a
Dover, DE 19904-4800
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Apr 20, 2023 Accepting new patients

Locations

1326 S Governors Ave
Ste A
Dover, DE 19904
Phone (302) 246-5527

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1881909414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 GREEN BLADE DR",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042646",
            "telephone_number": "267-979-7713",
            "fax_number": "302-730-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 S GOVERNORS AVE STE A",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044800",
            "telephone_number": "267-979-7713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16287 Willow Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199583614",
            "country_code": "US",
            "telephone_number": "302-703-6332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 W Loockerman St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199047325",
            "country_code": "US",
            "telephone_number": "302-674-1397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "LEIGHANN",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2023-04-03",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.