Provider Demographics
NPI:1568476307
Name:SIMPSON, GREGORY E (LCSW)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:E
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 OLD FARM RD APT 1234
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-4419
Mailing Address - Country:US
Mailing Address - Phone:713-367-3155
Mailing Address - Fax:
Practice Address - Street 1:2525 OLD FARM RD APT 1234
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-4419
Practice Address - Country:US
Practice Address - Phone:713-367-3155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX508621041C0700X
TN46991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4699OtherLCSW LICENSE
TX50862OtherLCSW LICENSE