Provider Demographics
NPI:1275270829
Name:SIMMS, HANNAH ELISABETH (LISW-CP)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:ELISABETH
Last Name:SIMMS
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:ELISABETH
Other - Last Name:VAUGHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3260 ROYAL COLWOOD CT
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-7030
Mailing Address - Country:US
Mailing Address - Phone:864-353-9979
Mailing Address - Fax:
Practice Address - Street 1:3260 ROYAL COLWOOD CT
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-7030
Practice Address - Country:US
Practice Address - Phone:803-968-2321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC151001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical