Provider Demographics
NPI:1558608927
Name:SIMMONS, VIRGINIA ARNEGARD (LCSW-C, LICSW)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:ARNEGARD
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:LCSW-C, LICSW
Other - Prefix:MS
Other - First Name:VIRGINIA
Other - Middle Name:CHARMAINE
Other - Last Name:ARNEGARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7715 KIRKLEE CT
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-6911
Mailing Address - Country:US
Mailing Address - Phone:240-498-2261
Mailing Address - Fax:
Practice Address - Street 1:7715 KIRKLEE CT
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-6911
Practice Address - Country:US
Practice Address - Phone:240-498-2261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-05
Last Update Date:2013-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD102151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical