Individual
CARLETTA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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