Provider Demographics
NPI:1861507535
Name:SIMPSON, TANIKA E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:TANIKA
Middle Name:E
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 VINE ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-1433
Mailing Address - Country:US
Mailing Address - Phone:860-223-9291
Mailing Address - Fax:860-223-3111
Practice Address - Street 1:1890 DIXWELL AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06514-3122
Practice Address - Country:US
Practice Address - Phone:203-288-7484
Practice Address - Fax:203-288-7485
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0051651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical