Christopher Elliot Simmons, LCSW
Individual provider Active NPI Clinical Social Worker · Sweet Home, OR
NPI 1891705901 · NPPES record last updated Aug 14, 2014
Key facts
- NPI
- 1891705901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 799 Long St
Sweet Home, OR 97386 - Phone
- (541) 367-3888
- Fax
- (541) 367-2407
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 14523 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard I Torban a Professional Corporation | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 14523 | CA | |
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
799 Long St
Sweet Home, OR 97386
Mailing address
445 SW 3Rd Ave
Albany, OR 97321
Phone (541) 967-3866
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L5730 | Other | OR | LCSW |
Other providers in Sweet Home, OR
- Safeway Inc
- Ruth E Sayers
- Richard R Schirmer
- Diana Jerline Scott
- Tad Edward Sharp
- Lisa M Steinback
- Cayla Stoering
- Michael Wayne Stoner
- Shannon Marie Strubhar
- Sweet Home Clinic LLC
All providers in Sweet Home, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.