| Dr Carol Ivy Simmons, PHD, LCSW-C | |
|
7103 A Antock Place, Upper Marlboro, MD 20772 | |
| (240) 350-6377 | |
| Not Available |
| Full Name | Dr Carol Ivy Simmons |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 7103 A Antock Place, Upper Marlboro, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659340057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10896 (Maryland) | Primary |
| Entity Name | Safe Harbor Behavioral Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316487879 PECOS PAC ID: 0345514675 Enrollment ID: O20170925002242 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carol Ivy Simmons, PHD, LCSW-C P.o. Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1000 | Dr Carol Ivy Simmons, PHD, LCSW-C 7103 A Antock Place, Upper Marlboro, MD 20772 Ph: (240) 350-6377 |
Ms. Safi Khadija Lynch, L.C.S.W.-CLINICAL Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9701 Apollo Dr, Suite 391, Upper Marlboro, MD 20774 Phone: 301-583-1181 | |
Sonia Reeves Harvey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8405 Berwick Rd, Upper Marlboro, MD 20772 Phone: 301-806-1552 | |
Kristen Danielle Brooks, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1401 Mercantile Ln Ste 433, Upper Marlboro, MD 20774 Phone: 240-681-9721 Fax: 240-825-1424 | |
Jerrica L Stanley, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9705 Woodyard Cir, Upper Marlboro, MD 20772 Phone: 240-391-8814 | |
Jeanine Michelle Wilson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4809 Colonel Brooke Ct, Upper Marlboro, MD 20772 Phone: 410-507-8183 Fax: 301-780-3271 | |
Therese Harrigan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14735 Main St, Upper Marlboro, MD 20772 Phone: 301-985-5960 Fax: 301-699-2886 | |
Mrs. Kimberly Lynn Walker, LCSW-C Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 9507 Vermell Pl, Upper Marlboro, MD 20774 Phone: 443-306-5678 |