Individual
CARLETTA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
38 6TH AVE APT 1412, BROOKLYN, NY 11217-4241
(347) 385-5509
Mailing address
38 6TH AVE APT 1412, BROOKLYN, NY 11217-4241
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111473
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111473
NYS LICENSE NUMBER
NY
01
—
4BE74FP5EI
NASW INSURANCE COMPANY RRG
—
Enumeration date
05/17/2022
Last updated
05/17/2022
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