Provider Demographics
NPI:1457804155
Name:PATRICIA A. SIMPSON, LCSW, BCD LLC
Entity Type:Organization
Organization Name:PATRICIA A. SIMPSON, LCSW, BCD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, BCD
Authorized Official - Phone:724-356-4449
Mailing Address - Street 1:PO BOX 447
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:PA
Mailing Address - Zip Code:15340-0447
Mailing Address - Country:US
Mailing Address - Phone:724-356-4449
Mailing Address - Fax:724-356-4432
Practice Address - Street 1:60 MAIN STREET
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:PA
Practice Address - Zip Code:15340-0447
Practice Address - Country:US
Practice Address - Phone:724-356-4449
Practice Address - Fax:724-356-4432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW005217L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA12516242OtherMULTIPLAN
PA250857000OtherMAGELLAN
PA117688OtherVBH-PA
PA70452561OtherOPTUM UNITED BEHAVIORAL HEALTH
PASI831951OtherHIGHMARK BLUE CROSS BLUE SHIELD
PA104398OtherUPMC
PA324423OtherMHN
PA11410204OtherCAQH
PA0018612100001Medicaid
PA7563290OtherAETNA
PA12516242OtherMULTIPLAN