Provider Demographics
NPI:1841330677
Name:SIMSON, JAMES M (MSW)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:M
Last Name:SIMSON
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:320 BURDETTE CT
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-2435
Mailing Address - Country:US
Mailing Address - Phone:719-351-1704
Mailing Address - Fax:719-687-7827
Practice Address - Street 1:320 BURDETTE CT
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-2435
Practice Address - Country:US
Practice Address - Phone:719-351-1704
Practice Address - Fax:719-687-7827
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9890711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO800944Medicare ID - Type UnspecifiedPROVIDER IDENTIFICATION #