Individual provider · Type 1 NPI

Kaneesha Chanele Simmons, LCSW

Clinical Social Worker · Vancouver, WA

NPI number 1033061361 Active

Practice location

4808 NE 123rd St
Vancouver, WA 98686-3370

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW61402656 (WA)

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1033061361

Kaneesha Chanele Simmons, LCSW's National Provider Identifier is 1033061361, issued on Feb 10, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vancouver, WA. The record was last updated on Feb 10, 2026.