KANEESHA CHANELE SIMMONS LCSW
NPI 1033061361
Social Worker - Clinical in Vancouver, WA

Active since February 10, 2026
4808 NE 123RD ST, VANCOUVER, WA 98686(360) 789-7697 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kaneesha Chanele Simmons Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANEESHA CHANELE SIMMONS LCSW (NPI 1033061361) is an individual clinical provider in Vancouver, Washington, licensed in Washington (LW61402656) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1033061361
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKANEESHA CHANELE SIMMONSCredential: LCSW
Location Address4808 NE 123RD STVancouver, WA 98686-3370
Mailing Address4808 Ne 123rd StVancouver, WA 98686-3370 · (360) 789-7697
Sole ProprietorNo
Enumeration DateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
NPI 1033061361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WA · LW61402656
Definition
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.
4808 NE 123RD ST, Vancouver, WA 98686

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaneesha Simmons's NPI number?

The NPI number for Kaneesha Simmons is 1033061361. It was assigned to this individual provider in the NPPES registry on February 10, 2026.

Where is Kaneesha Simmons located?

Kaneesha Simmons practices at 4808 NE 123rd St, Vancouver, WA 98686. The listed phone number is (360) 789-7697.

What is Kaneesha Simmons's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kaneesha Simmons was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.