Deborah Jean Simonis-Gayed, LCSW, MS EDU, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

149.005135 Issued in IL

Practice address

2426 W Cornerstone CT
Peoria, IL 61614-2492

Phone

(309) 750-2828

Fax

(309) 200-0218

NPI assigned

Mar 4, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Deborah Simonis LCSW

  • Clinical Social Worker
  • Peoria, IL
  • NPI 1881070290
  NPD (past) Authorized official

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1982844841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 E BULLOCK ST",
            "city": "EUREKA",
            "state": "IL",
            "postal_code": "615301256",
            "telephone_number": "309-750-2828",
            "fax_number": "309-200-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 W CORNERSTONE CT",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142492",
            "telephone_number": "309-750-2828",
            "fax_number": "309-200-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONIS-GAYED",
        "first_name": "DEBORAH",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LCSW, MS EDU, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149.005135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Silva, MD
• Lori Elizabeth Simenauer, M.D.
• Linda Kay Simkins, M.S.S.W.
• Diana Dawn Simmons, FNP-C APN
• Emily Kathleen Simmons, MS, CCC-SLP/L
• Ashley Simper, R.D.
• Sinclair Counseling & Therapy Services, LLC
• Angela Kristi Sinclair Hawley, LCSW
• Craig A Sinclair, DDS MS
• Hanna Ariella Singer, DC

• Social Worker in Peoria, IL
• Providers in Peoria, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.