Individual provider · Type 1 NPI

Jacquelyn Malloy Simmons, LCSW BCD

Clinical Social Worker · Syracuse, NY

NPI number 1629085402 Active

Practice location

327 W Fayette St, Suite 310
Syracuse, NY 13202-1275

Mailing address

8223 Verbeck Dr
Manlius, NY 13104-9311

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR016898 (NY)

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 1629085402

Jacquelyn Malloy Simmons, LCSW BCD's National Provider Identifier is 1629085402, issued on Aug 2, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Syracuse, NY. The record was last updated on Jul 8, 2007.