Provider Demographics
NPI:1922169853
Name:SIMMONS, HUGH (LCSW)
Entity Type:Individual
Prefix:MR
First Name:HUGH
Middle Name:
Last Name:SIMMONS
Suffix:
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 1:3806 WOODCHESTER LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-2934
Mailing Address - Country:US
Mailing Address - Phone:866-936-6552
Mailing Address - Fax:
Practice Address - Street 1:3806 WOODCHESTER LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78727-2934
Practice Address - Country:US
Practice Address - Phone:866-936-6552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX576191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY137656OtherVALUE OPTIONS
NYP1882060OtherOXFORD
NY7407581OtherG.H.I.
NY223110POtherHIP
NY223110POtherHIP