Individual provider Active NPI

Haley Christine Simpson, LCSW

  • Clinical Social Worker
  • Fairview Heights, IL
National Provider Identifier
1891330155
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
8 Executive Dr Ste 200
Fairview Heights, IL 62208-1350
Phone
(618) 688-7087
NPI assigned
Nov 11, 2019
Last updated
Oct 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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 Primary

Addresses

Primary practice location

8 Executive Dr Ste 200
Fairview Heights, IL 62208-1350

Mailing address

8 Executive Dr Ste 200
Fairview Heights, IL 62208-1350
Phone (618) 618-9504

Other practice location 1

2555 Wintercreek Dr
Belleville, IL 62221-6738
Phone (618) 318-9504

Other identifiers 1

IdentifierTypeStateIssuer
1083073977MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1891330155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 EXECUTIVE DR STE 200",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081350",
            "telephone_number": "618-618-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 EXECUTIVE DR STE 200",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081350",
            "telephone_number": "618-688-7087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2555 Wintercreek Dr",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622216738",
            "country_code": "US",
            "telephone_number": "618-318-9504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "HALEY",
        "middle_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083073977",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.