THERESA LYN SIMMONS (NPI# 1639675085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639675085 |
| Entity Type | Individual |
| Full Name | THERESA LYN SIMMONS |
| Other Name | THERESA LYN CHURCHILL |
| Practice Address |
1939 S Division Ave. Grand Rapids MI 49507 |
| Practice Telephone | 6162473815 |
| Practice Fax Number | 6162450450 |
| Mailing Telephone | 6162473815 |
| Mailing Fax Number | 6162450450 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2020-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801104653 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659852630 | Theresa E Simmons | Behavior Technician | 206 Laurel Ave, Goose Creek, SC 29445-3025 | 2018-08-27 |
| 1225693179 | Theresa Simmons | Pharmacist | 1015 Spring Creek Pkwy, Zion Crossroads, VA 22942-7019 | 2019-05-07 |
| 1982153037 | Theresa Lynn Simmons | Nurse Practitioner | 1211 W La Palma Ave, 207, Anaheim, CA 92801-2815 | 2016-09-30 |
| 1790020550 | Theresa L Simmons | Community/Behavioral Health | 11 Castle Way, Carson City, NV 89706-1932 | 2012-12-05 |
| 1154644979 | Theresa A Simmons | Dentist | 410 Stevens Entry, Peachtree City, GA 30269-4050 | 2010-03-08 |
| 1538258520 | Theresa L. Simmons | Nurse Anesthetist, Certified Registered | 501 S Burma Ave, Gillette, WY 82716-3426 | 2006-10-11 |
| Street Address |
1939 S DIVISION AVE. |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447418678 | Misael Rosario | Counselor | 1939 S Division Ave., Grand Rapids, MI 49507 | 2008-05-23 |
| 1033710215 | Annalise Piazza | Social Worker | 1939 S Division Ave., Grand Rapids, MI 49507 | 2020-11-04 |
| 1134726490 | Rochelle Gerwatowski | Social Worker | 1939 S Division Ave., Grand Rapids, MI 49507 | 2020-10-08 |
| 1558968255 | Laura Marcus | Social Worker | 1939 S Division Ave., Grand Rapids, MI 49507 | 2020-10-06 |
| 1811594518 | Amy Waldo | Social Worker | 1939 S Division Ave., Grand Rapids, MI 49507 | 2020-10-06 |
| 1285231993 | Holly Przybylski | Social Worker | 1939 S Division Ave., Grand Rapids, MI 49507 | 2020-10-06 |
| 1922605658 | Brodee Jason | Social Worker | 1939 S Division Ave., Grand Rapids, MI 49507 | 2020-10-06 |
| 1922605625 | Mackenzie Mckeever | Social Worker | 1939 S Division Ave., Grand Rapids, MI 49507 | 2020-10-06 |
| 1639781156 | Ryan Becksford | Counselor | 1939 S Division Ave., Grand Rapids, MI 49507 | 2020-08-17 |
| 1861004483 | Debra Wade Mahoney | Counselor | 1939 S Division Ave., Grand Rapids, MI 49507 | 2020-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487156956 | Kristen Zvirbulis Keeter | Physical Therapist | 625 Kenmoor Ave. Se Ste 306, Grand Rapids, MI 49507 | 2018-03-01 |
| 1508371758 | Vanessa Woodard | Case Manager/Care Coordinator | 1939 S. Division Ave., Grand Rapids, MI 49507 | 2017-12-11 |
| 1306350624 | Courtney Nicole Porter | Social Worker | 1979 S Division Ave., Grand Rapids, MI 49507 | 2017-11-22 |
| 1518496900 | 733 Prince LLC | Custodial Care Facility | 733 Prince St Se, Grand Rapids, MI 49507 | 2017-06-08 |
| 1720515406 | Tiffanie Ryder | Massage Therapist | 1110 Merrified St, Grand Rapids, MI 49507 | 2017-05-12 |
| 1619404308 | Shedrice's Afc | Respite Care | 246 Powell Se Ave, Grand Rapids, MI 49507 | 2017-05-12 |
| 1992171748 | Richard Lavell Flowers | Non-emergency Medical Transport (VAN) | 1447 Elliott, Grand Rapids, MI 49507 | 2015-08-17 |
| 1982096087 | Jordana Seebeck | Social Worker | 1939 S. Division Se, Grand Rapids, MI 49507 | 2015-02-26 |
| 1083973135 | Carla May Waite | Social Worker | 1939 South Division, Grand Rapids, MI 49507 | 2012-05-10 |
| 1740550037 | Jamie Lee Dalton | Social Worker | 2017 College Ave Se, Grand Rapids, MI 49507 | 2012-01-04 |
| Find all providers in zip 49507 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173595 | Laura Ann Dillivan | Social Worker | 1545 Cole Ave Ne, Grand Rapids, MI 49505-5026 | 2020-10-29 |
| 1912510033 | Alexandra Burke Hagerty | Social Worker | 1047 Wealthy St Se, Grand Rapids, MI 49506-1551 | 2020-08-28 |
| 1124643689 | Lavange Barth LLC | Social Worker | 400 Monroe Ave Nw Ste 400, Grand Rapids, MI 49503-1476 | 2020-06-10 |
| 1962026641 | Maya Louise Williams | Social Worker | 1101 Ball Ave Ne Bldg D, Grand Rapids, MI 49505-5904 | 2020-05-29 |
| 1720618242 | Terri Lynn Ingram | Social Worker | 1030 Sunrise Ln Nw, Grand Rapids, MI 49534-3679 | 2020-01-23 |
| 1528698206 | Kristen Zolen | Social Worker | 3310 Eagle Park Dr Ne, Grand Rapids, MI 49525-4574 | 2020-01-22 |
| 1437789120 | Ann Louise Przybysz | Social Worker | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-01-22 |
| 1649810276 | Dana Harrison | Social Worker | 500 Fulton St E Apt 303, Grand Rapids, MI 49503-4491 | 2020-01-12 |
| 1336781939 | Samantha L Klokkert | Social Worker | 2013 Eastcastle Dr Se Ste B, Grand Rapids, MI 49508-8873 | 2019-10-15 |
| 1952958191 | Morgan Fegel | Social Worker | 2040 E Beltline Ave Ne, Grand Rapids, MI 49525-9716 | 2019-08-22 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49507 |
Please comment or provide details below to improve the information on THERESA LYN SIMMONS.
| 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.