Carol Ivy Simmons is a Clinical in Gallup, New Mexico. Carol Ivy Simmons practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carol Ivy Simmons is 1659340057. The last update date is 2021-06-03.
Carol Ivy Simmons's current location address is P.o. Box 1337, Gallup, New Mexico. You can contact this provider via phone number 5057221000 and fax number 5057268557. The mailing address for Carol Ivy Simmons is P.o. Box 1337, Gallup, New Mexico. To know further, please read the information below!
Provider Profile Detail
Provider Name | Carol Ivy Simmons |
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Address | P.o. Box 1337, Gallup, New Mexico |
Phone Number | 5057221000 |
Fax Number | 5057268557 |
Sole Proprietor | N |
Credentials | PHD, LCSW- |
NPI Number Detail
NPI Number | 1659340057 |
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Provider Enumeration Date | 2006-03-16 |
Last Updated Date | 2021-06-03 |
Provider Mailing Address Detail
Address | P.o. Box 1337 |
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City | Gallup |
State | New Mexico (NM) |
Post Code | 873051337 |
Phone Number | 5057221000 |
Fax Number | 5057268557 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 10896 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identification code issued to Carol Ivy Simmons by the Centers for Medicare & Medicaid Services?
The Carol Ivy Simmons has been assigned the NPI (National Provider Identifier) 1659340057 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Carol Ivy Simmons is located?
The Carol Ivy Simmons is situated at the following address: P.O. Box 1337, Gallup, NM, 873051337.
What is the area of specialization for Carol Ivy Simmons, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Carol Ivy Simmons is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Carol Ivy Simmons receive the assignment of its 1659340057 from the Centers for Medicare & Medicaid Services?
The Carol Ivy Simmons was issued its 1659340057 by the Centers for Medicare & Medicaid Services on 2006-03-16.
As of what date was the information regarding Carol Ivy Simmons, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Carol Ivy Simmons, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-06-03.