Provider Demographics
NPI:1093870610
Name:SIMPSON, PATRICIA ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANN
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 447
Mailing Address - Street 2:97 MAIN ST.
Mailing Address - City:HICKORY
Mailing Address - State:PA
Mailing Address - Zip Code:15340-0447
Mailing Address - Country:US
Mailing Address - Phone:724-356-4449
Mailing Address - Fax:724-356-4432
Practice Address - Street 1:60 MAIN ST
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:PA
Practice Address - Zip Code:15340-1117
Practice Address - Country:US
Practice Address - Phone:724-356-4449
Practice Address - Fax:724-356-4432
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW005217-L101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
831951OtherHIGHMARK
250857000OtherMAGELLAN
104398OtherUPMC
46230OtherINTERGROUP
117688OtherVALUE BEHAVIORAL HEALTH
324423OtherMENTAL HEALTH NETWORK
70452561OtherUNITED BEHAVIORAL HEALTH
7563290OtherAETNA
PA01394395Medicaid
117688OtherVALUE BEHAVIORAL HEALTH
70452561OtherUNITED BEHAVIORAL HEALTH