Kendra L Simpson, LCSW, LISAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-11628 Issued in AZ

Practice address

1415 N 1St St
Phoenix, AZ 85004-1604

Phone

(602) 302-7815

Fax

(602) 258-6140

NPI assigned

Apr 14, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sage Counseling, Inc.

  • Community/Behavioral Health Agency
  • Yuma, AZ
  • NPI 1730677469
  NPD (past)

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1922272798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N 1ST ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041604",
            "telephone_number": "602-302-7815",
            "fax_number": "602-258-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "KENDRA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW, LISAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-10693",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-11628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quanika Shuntaaye Simpson-Jackson, MD
• Alyssa Simpson, RDN, CGN, CLT
• Brian Simpson
• Charrid Simpson
• Dana Simpson, OTR/L
• Lisa Simpson
• Madinah Simpson, RN
• Marcella Celeste Simpson, NNP
• Marilyn Simpson
• Miriah Chelise Simpson, COTA/L, A.S

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.