Provider Demographics
NPI:1659538015
Name:SIMPSON, DAVID BRUCE (MSW, LCSW, C-ASWCM)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:BRUCE
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:MSW, LCSW, C-ASWCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1124 EDMONDS AVE
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-2615
Mailing Address - Country:US
Mailing Address - Phone:205-394-3256
Mailing Address - Fax:
Practice Address - Street 1:1124 EDMONDS AVE
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-2615
Practice Address - Country:US
Practice Address - Phone:205-394-3256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker