Individual
BEVERLY M SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4016 BARRETT DR STE 104, RALEIGH, NC 27609-6623
(919) 824-9102
(919) 883-4515
Mailing address
4016 BARRETT DR STE 104, RALEIGH, NC 27609-6623
(919) 824-9102
(919) 883-4515
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C005387
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C005387
NC LICENSE
NC
Enumeration date
08/31/2006
Last updated
08/23/2023
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