Provider Demographics
NPI:1922126614
Name:SIMPSON, AARON J (LISW)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:J
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N MAIN ST
Mailing Address - Street 2:620
Mailing Address - City:ROSWELL
Mailing Address - State:NM
Mailing Address - Zip Code:88201-4729
Mailing Address - Country:US
Mailing Address - Phone:505-622-8827
Mailing Address - Fax:505-622-8506
Practice Address - Street 1:500 N MAIN ST
Practice Address - Street 2:620
Practice Address - City:ROSWELL
Practice Address - State:NM
Practice Address - Zip Code:88201-4729
Practice Address - Country:US
Practice Address - Phone:505-622-8827
Practice Address - Fax:505-622-8506
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI062611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical