Active NPI
Cassey Ari' Simmons
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1972264547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW007821
- Practice address
- 1700 Northside Dr
Suite A7 #5207
Atlanta, GA 30318 - Phone
- (919) 452-9877
- NPI assigned
- Jan 6, 2022
- 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 | CSW007821 | GA | Primary |
Addresses
Primary practice location
1700 Northside Dr
Suite A7 #5207
Atlanta, GA 30318
Mailing address
1700 Northside Dr
Suite A7 #5207
Atlanta, GA 30318
Phone (919) 452-9877
Other names 1
- Cassey Ari' Simmons
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 |
|---|---|---|---|
| CSW007821 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1972264547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 NORTHSIDE DR",
"address_2": "SUITE A7 #5207",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30318",
"telephone_number": "919-452-9877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 NORTHSIDE DR",
"address_2": "SUITE A7 #5207",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30318",
"telephone_number": "919-452-9877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "CASSEY",
"middle_name": "ARI'",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-06",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW007821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSEY",
"last_name": "SIMMONS",
"middle_name": "ARI'",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.