Active NPI
Jessica Diana Simmons, LMSW
- Social Worker
- Hauppauge, NY
National Provider Identifier
1962981613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 126704-01
- Practice address
- 888 Veterans Hwy Ste 310
Hauppauge, NY 11788-2940 - Phone
- (718) 830-9274
- NPI assigned
- Aug 13, 2018
- Last updated
- Jul 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | 126704-01 | NY | Primary |
Addresses
Primary practice location
888 Veterans Hwy Ste 310
Hauppauge, NY 11788-2940
Mailing address
888 Veterans Hwy Ste 310
Hauppauge, NY 11788-2940
Other practice location 1
4024 Amboy Rd
Staten Island, NY 10308-2409
Phone (718) 984-9022
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
| License | State | Type | Specialty |
|---|---|---|---|
| 126704-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1962981613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 VETERANS HWY STE 310",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117882940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 VETERANS HWY STE 310",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117882940",
"telephone_number": "718-830-9274"
}
],
"practiceLocations": [
{
"address_1": "4024 Amboy Rd",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103082409",
"country_code": "US",
"telephone_number": "718-984-9022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "JESSICA",
"middle_name": "DIANA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-13",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "126704-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.