Active NPI
Alisha Sims, LISW
- Clinical Social Worker
- Newark, OH
National Provider Identifier
1972965960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I1600069
- Practice address
- 15 N 3Rd St
3Rd Floor
Newark, OH 43055-5550 - Phone
- (740) 349-7511
- NPI assigned
- Mar 28, 2016
- 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 | I1600069 | OH | Primary |
Addresses
Primary practice location
15 N 3Rd St
3Rd Floor
Newark, OH 43055-5550
Mailing address
15 N 3Rd St
3Rd Floor
Newark, OH 43055-5550
Phone (740) 349-7511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2892946 | Other | OH | NATIONAL YOUTH ADVOCATE PROGRAM |
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 |
|---|---|---|---|
| I1600069 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459123200000",
"number": "1972965960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 N 3RD ST",
"address_2": "3RD FLOOR",
"city": "NEWARK",
"state": "OH",
"postal_code": "430555550",
"telephone_number": "740-349-7511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 N 3RD ST",
"address_2": "3RD FLOOR",
"city": "NEWARK",
"state": "OH",
"postal_code": "430555550",
"telephone_number": "740-349-7511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "ALISHA",
"name_prefix": "Ms.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-28",
"last_updated": "2016-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I1600069",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL YOUTH ADVOCATE PROGRAM",
"identifier": "2892946",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.