Active NPI
Gaynell Marie Simpson, LCSW-C
- Clinical Social Worker
- Columbia, MD
National Provider Identifier
1962611855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10373
- Practice address
- 6355 Woodside CT
Columbia, MD 21046-1071 - Phone
- (410) 381-7171
- Fax
- (410) 381-5137
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10373 | MD | Primary |
Addresses
Primary practice location
6355 Woodside CT
Columbia, MD 21046-1071
Mailing address
6355 Woodside CT
Columbia, MD 21046-1071
Phone (410) 381-7171
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10373 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962611855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 WOODSIDE CT",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461071",
"telephone_number": "410-381-7171",
"fax_number": "410-381-5137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6355 WOODSIDE CT",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461071",
"telephone_number": "410-381-7171",
"fax_number": "410-381-5137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "GAYNELL",
"middle_name": "MARIE",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "10373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.