Provider Demographics
NPI:1568703551
Name:SIMKINS, GEOFFREY MICHAEL (MSW)
Entity Type:Individual
Prefix:MR
First Name:GEOFFREY
Middle Name:MICHAEL
Last Name:SIMKINS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:627 5TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-1580
Mailing Address - Country:US
Mailing Address - Phone:206-309-3839
Mailing Address - Fax:425-513-2329
Practice Address - Street 1:627 5TH ST STE 200
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-1580
Practice Address - Country:US
Practice Address - Phone:206-309-3839
Practice Address - Fax:425-513-2329
Is Sole Proprietor?:No
Enumeration Date:2013-03-15
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC603412391041C0700X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor