Walter G Simmons, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

046310 Issued in NY

Practice address

325 King St
4C
Port Chester, NY 10573-4050

Phone

(914) 937-9204

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• County of Westchester

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • White Plains, NY
  • NPI 1922154145
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1972640647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 KING ST",
            "address_2": "4C",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734050",
            "telephone_number": "914-937-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 KING ST",
            "address_2": "4C",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734050",
            "telephone_number": "914-937-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "WALTER",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "046310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A300056850",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valentina Shehu, PH.D.
• Shiv Pharmacy Corporation
• Kenneth J Shulman, MD
• Marie C Sicari, MD
• Linda Ruth Silberstein, M.D.
• Jasjit Kaur Singh, R.PH
• Stuart L Sklar, OD
• Stephen Smirlock, DPM
• Michael Thomas Solano, MS, CCC-SLP
• Sandy Soler, LMSW

• Clinical Social Worker in Port Chester, NY
• Providers in Port Chester, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.