Provider Demographics
NPI:1801375746
Name:SIMS, TERENCE L (MSW, LSW, CDCA)
Entity Type:Individual
Prefix:
First Name:TERENCE
Middle Name:L
Last Name:SIMS
Suffix:
Gender:M
Credentials:MSW, LSW, CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5526 VALENCIA PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-8777
Mailing Address - Country:US
Mailing Address - Phone:813-470-9995
Mailing Address - Fax:
Practice Address - Street 1:5526 VALENCIA PARK BLVD
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-8777
Practice Address - Country:US
Practice Address - Phone:813-470-9995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-10
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS1600804104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker