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MEGAN ELIZABETH SIMMS LCSWC, LICSW
NPI 1063797165
Social Worker - Clinical in Martinsburg, WV

Active since October 20, 2011PECOS Enrolled
312 W KING ST APT B, MARTINSBURG, WV 25401(304) 620-5994 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Megan Elizabeth Simms Lcswc, Licsw NPPES

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

MEGAN ELIZABETH SIMMS LCSWC, LICSW (NPI 1063797165) is an individual clinical provider in Martinsburg, West Virginia, licensed in West Virginia (DP00944131) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063797165
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMEGAN ELIZABETH SIMMSCredential: LCSWC, LICSW
Location Address312 W KING ST APT BMartinsburg, WV 25401-3202
Mailing Address312 W King St Apt BMartinsburg, WV 25401-3202 · (304) 620-5994
Phone(304) 620-5994
Sole ProprietorYes
Enumeration DateOctober 20, 2011
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1063797165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WV · DP00944131✔ Licensed in MD · 15165
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.
312 W KING ST APT B, Martinsburg, WV 25401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Megan Elizabeth Simms Lcswc, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Megan Simms reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

All Hope Behavioral Health Services, PC
40 mi
Psychiatry
44790 MAYNARD SQ STE 130
Ashburn, VA 20147
  • Reassigned Medicare billing, West Virginia enrollment
  • 5 clinicians in this Medicare group
NPI 1760715403 (703) 542-3737

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.20 – $164.59
Typical copayment $0.00 (range $13.30 – $41.14)
Most-billed visit code NA
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Megan Simms's NPI number?

The NPI number for Megan Simms is 1063797165. It was assigned to this individual provider in the NPPES registry on October 20, 2011.

Where is Megan Simms located?

Megan Simms practices at 312 W King St Apt B, Martinsburg, WV 25401. The listed phone number is (304) 620-5994.

What is Megan Simms's specialty?

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

Is Megan Simms enrolled in Medicare?

Yes. Megan Simms is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Megan Simms's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Simms reassigns Medicare benefits to All Hope Behavioral Health Services, PC (Ashburn, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Megan Simms's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Simms accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Megan Simms as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Megan Simms was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.