| Michelle 'mickey' Simpson Lcsw Lscsw | |
|
8010 State Line Rd Ste 101 Prairie Village KS 66208 | |
| (816) 305-8830 | |
| (913) 385-0004 |
| Full Name | Michelle 'mickey' Simpson Lcsw Lscsw |
|---|---|
| Speciality | Social Worker |
| Location | 8010 State Line Rd Ste 101, Prairie Village, Kansas |
| Authorized Official Name and Position | Michelle Corinne Simpson (PRESIDENT) |
| Authorized Official Contact | 8163058830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle 'mickey' Simpson Lcsw Lscsw 8010 State Line Rd Ste 101 Prairie Village KS 66208 Ph: (816) 305-8830 | Michelle 'mickey' Simpson Lcsw Lscsw 8010 State Line Rd Ste 101 Prairie Village KS 66208 Ph: (816) 305-8830 |
| NPI Number | 1588727085 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7719992239 |
|---|---|
| Medicare Enrollment ID | O20060220000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588727085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 2130 (Kansas) | Primary |
| 104100000X | Social Worker | 2000161709 (Missouri) | Secondary |
| 104100000X | Social Worker | LC9049 (Maine) | Secondary |
| Provider Name | Michelle C Simpson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457415200 PECOS PAC ID: 5698780112 Enrollment ID: I20060221000628 |
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