| Mr Joel K Simon, LCSW | |
|
7 Ivy Ln, Walden, NY 12586-2809 | |
| (845) 778-7107 | |
| Not Available |
| Full Name | Mr Joel K Simon |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 7 Ivy Ln, Walden, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477767572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 021732-1 (New York) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221117000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Joel K Simon, LCSW 7 Ivy Ln, Walden, NY 12586-2809 Ph: (845) 778-7107 | Mr Joel K Simon, LCSW 7 Ivy Ln, Walden, NY 12586-2809 Ph: (845) 778-7107 |
Mrs. Jennifer Jackson Grismer, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Berwick Ave, Walden, NY 12586 Phone: 845-778-8502 | |
Paula Jean Southwell, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 Rifton Pl, Walden, NY 12586 Phone: 845-346-6399 | |
Ms. Renee E. Sampson Woodard, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Mills Rd, Walden, NY 12586 Phone: 845-313-0317 Fax: 914-948-9564 |