Individual provider Active NPI

Shelly Marie Simpson, LMSW

  • Social Worker
  • Los Angeles, CA
National Provider Identifier
1942649595
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
57924 Issued in TX
Practice address
1477 S Shenandoah St Apt 1/2
Los Angeles, CA 90035-3578
Phone
(281) 703-9065
NPI assigned
Jun 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 57924 TX Primary

Addresses

Primary practice location

1477 S Shenandoah St Apt 1/2
Los Angeles, CA 90035-3578

Mailing address

1477 S Shenandoah St Apt 1/2
Los Angeles, CA 90035-3578
Phone (281) 703-9065

Other practice location 1

303 Jackson Hill St
Houston, TX 77007-7407
Phone (713) 914-0556

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

State licenses

LicenseStateTypeSpecialty
57924TXMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1942649595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 S SHENANDOAH ST APT 1/2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353578",
            "telephone_number": "281-703-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 S SHENANDOAH ST APT 1/2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353578",
            "telephone_number": "281-703-9065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Jackson Hill St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770077407",
            "country_code": "US",
            "telephone_number": "713-914-0556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "SHELLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "57924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.