Individual provider Active NPI

Dionne Simmonds, PH.D., L.C.S.W., CAC

  • Clinical Social Worker
  • St Thomas, VI
National Provider Identifier
1902253685
Registry record updated Jul 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1-18718-1B Issued in VI
Practice address
9151 Estate Thomas
Ste 204
St Thomas, VI 00802-2716
Phone
(340) 774-2228
NPI assigned
May 23, 2016
Last updated
Jul 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2017

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 1-18718-1B VI Primary

Addresses

Primary practice location

9151 Estate Thomas
Ste 204
St Thomas, VI 00802-2716

Mailing address

PO Box 813
St Thomas, VI 00804-0813
Phone (340) 514-4770

Other names 1

  • Mrs. Dionne Simmonds Professional name

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1-18718-1BVIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Outreach, Inc PastSince Apr 25, 2021 Accepting new patients
Insight Psychological Services, LLC PastSince Apr 22, 2022 Accepting new patients

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": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499644800000",
    "number": "1902253685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 813",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008040813",
            "telephone_number": "340-514-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9151 ESTATE THOMAS",
            "address_2": "STE 204",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022716",
            "telephone_number": "340-774-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONDS",
        "first_name": "DIONNE",
        "credential": "PH.D., L.C.S.W., CAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2017-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VI",
            "license": "1-18718-1B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIONNE",
            "last_name": "SIMMONDS",
            "prefix": "MRS.",
            "credential": "PH.D., L.C.S.W., CAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; 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.