MR. NICHOLAS ALVIN SIMONS-BRACKEN (NPI# 1235561366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235561366 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS ALVIN SIMONS-BRACKEN |
| Credential | LCSW |
| Practice Address |
668 Se Bayberry Ln Ste 101 Lees Summit MO 64063-4366 |
| Practice Telephone | 8165006436 |
| Mailing Telephone | 8165006436 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2018-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2017011987 | MO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 660 Se Bayberry Ln Ste 101, Lees Summit, MO 64063 | 8165006436 |
| Street Address |
668 SE BAYBERRY LN STE 101 |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64063-4366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151185 | Rachel Elizabeth Ulrich | Social Worker | 668 Se Bayberry Ln Ste 101, Lees Summit, MO 64063-4366 | 2020-07-07 |
| 1356966188 | Katie Lynn Howard | Social Worker | 668 Se Bayberry Ln Ste 101, Lees Summit, MO 64063-4366 | 2020-06-08 |
| 1518591718 | Stacey Haselhorst | Counselor | 668 Se Bayberry Ln Ste 101, Lees Summit, MO 64063-4366 | 2020-02-26 |
| 1508405523 | Andrew F Vanslyke | Social Worker | 668 Se Bayberry Ln Ste 101, Lees Summit, MO 64063-4366 | 2019-12-23 |
| 1235782574 | Jennifer E Baston | Counselor | 668 Se Bayberry Ln Ste 101, Lees Summit, MO 64063-4366 | 2019-07-16 |
| 1457814113 | Cristina Imery | Social Worker | 668 Se Bayberry Ln Ste 101, Lees Summit, MO 64063-4366 | 2019-04-10 |
| 1255805248 | Sidraa Dad | Social Worker | 668 Se Bayberry Ln Ste 101, Lees Summit, MO 64063-4366 | 2019-01-14 |
| 1841766425 | Summit Therapeutic Services, LLC | Social Worker | 668 Se Bayberry Ln Ste 101, Lees Summit, MO 64063 | 2018-10-22 |
| 1346716370 | Empowering Parents | Social Worker | 668 Se Bayberry Ln Ste 101, Lees Summit, MO 64063-4366 | 2018-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649895533 | Ian Christopher Fekete | Student in an Organized Health Care Education/Training Program | Lee's Summit Medical Center, 2100 Se Blue Pkwy, Lee's Summit, MO 64063 | 2020-06-16 |
| 1083268403 | Rachelle Colyer | Physical Therapist | 298 Sw Blue Pkwy, Lee's Summit, MO 64063 | 2019-07-25 |
| 1326504200 | Brenda Michelle Brown | Physical Therapist | 2160 Se Blue Parkway Addington Place, 2160 Seblue Parkway, Lee's Summit, MO 64063 | 2019-02-15 |
| 1528545068 | Bayada Home Health Care, Inc. | Home Health | 600 Sw Jefferson St Ste 101, Lees Summit, MO 64063 | 2018-07-27 |
| 1972089118 | Summit Integrative Dental (bromley, D.d.s. and Broyles, D.d.s.), P.C. | Dentist | 688 Se Bayberry Lane, Suite 101, Lee's Summit, MO 64063 | 2018-07-11 |
| 1104327576 | Molly Moore Mcgraw Davidson | Nurse Practitioner | 2000 Se Blue Pkwy Ste 270a, Lees Summit, MO 64063 | 2018-02-21 |
| 1821507591 | Joshua Greenwell | Chiropractor | 1634 Se Blue Pkwy, Lee's Summit, MO 64063 | 2017-09-26 |
| 1457870651 | Tlc Home Healthcare Consulting Inc | Registered Nurse | 109 Sw Madison St, Lee's Summit, MO 64063 | 2017-09-19 |
| 1053834622 | Kristin E Schwartz | Advanced Practice Midwife | 2000 Se Blue Pkwy Ste 220, Lees Summit, MO 64063 | 2017-07-25 |
| 1316493828 | Laura Ballantyne | Speech-Language Pathologist | 600 Se Miller St, Lees Summit, MO 64063 | 2016-08-26 |
| Find all providers in zip 64063 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347013 | Kathy Susan Cherney | Social Worker | 124 Nw Nutall Dr, Lees Summit, MO 64081-4141 | 2020-05-13 |
| 1780164491 | Christine Y Mize | Social Worker | 400 Se Blue Pkwy, Lees Summit, MO 64063-4352 | 2018-08-21 |
| 1881174597 | Mary Beth Panek | Social Worker | 905 Ne Bluestem Dr, Lees Summit, MO 64086-3700 | 2018-08-21 |
| 1518345685 | Janet Lowrey | Social Worker | 410a Se 3rd St, Suite 101, Lees Summit, MO 64063-2836 | 2015-05-11 |
| 1588085658 | Amber Grice | Social Worker | 3906 Ne Beechwood Dr, Lees Summit, MO 64064-1506 | 2013-12-17 |
| 1912247214 | Swan Therapeutic Services | Social Worker | 529 Se 2nd Street, D, Lees Summit, MO 64063-2654 | 2013-02-22 |
| 1225304264 | Misty Dawn Dixon | Social Worker | 684 Se Bayberry Ln, Suite 103, Lees Summit, MO 64063-4385 | 2012-03-23 |
| 1093030389 | Nina Escobar Petersen | Social Worker | 410c Se 3rd St Ste 108, Lees Summit, MO 64063-2849 | 2010-03-30 |
| 1467605584 | Kathleen M Tribble | Social Worker | 949 Ne Columbus St, Lees Summit, MO 64086-2977 | 2008-11-03 |
| 1033253083 | Robert Grey Endres | Social Worker | 1508 Sw White Ridge Dr, Lees Summit, MO 64081-2433 | 2007-02-15 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64063 |
Please comment or provide details below to improve the information on MR. NICHOLAS ALVIN SIMONS-BRACKEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.