Individual provider · Type 1 NPI
Carol Ivy Simmons, PhD, LCSW-C
Clinical Social Worker · Upper Marlboro, MD
Practice location
7103 A Antock Place
Upper Marlboro, MD 20772
Mailing address
P.o. Box 1337
Gallup, NM 87305-1337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 10896 (MD) |
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 1659340057
Carol Ivy Simmons, PhD, LCSW-C's National Provider Identifier is 1659340057, issued on Mar 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Upper Marlboro, MD. The record was last updated on Jun 3, 2021.