Individual
NANCY LYNN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
201 22ND ST, ASHLAND, KY 41101-7803
(606) 324-1141
(606) 325-8606
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1902
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000352591
ANTHEM BCBS
—
01
—
11759499
CAQH#
—
05
—
30610026
—
KY
Enumeration date
05/30/2007
Last updated
08/02/2024
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