Provider Demographics
NPI:1750010815
Name:SIMMONS, DARYL JR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DARYL
Middle Name:
Last Name:SIMMONS
Suffix:JR
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 1:7013 HAPSBURG CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23231-7282
Mailing Address - Country:US
Mailing Address - Phone:804-437-1398
Mailing Address - Fax:
Practice Address - Street 1:7013 HAPSBURG CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23231-7282
Practice Address - Country:US
Practice Address - Phone:804-437-1398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040138601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical