NANCY LEVY SIMON
NPI 1093136483
Social Worker - Clinical in Evanston, IL

Active since January 02, 2014Opted out of Medicare · through Feb 3, 2028
1740 RIDGE AVE STE 101, EVANSTON, IL 60201(847) 491-1111 Get Directions Write a Review

NPPES record last updated: January 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nancy Levy Simon NPPES

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

NANCY LEVY SIMON (NPI 1093136483) is an individual clinical provider in Evanston, Illinois, licensed in Illinois (149005243) and active in the NPI registry since January 2014. She has opted out of Medicare through February 3, 2028.

NPPES Registry Identity

NPI1093136483
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNANCY LEVY SIMON
Location Address1740 RIDGE AVE STE 101Evanston, IL 60201-5908
Mailing Address1740 Ridge Ave Ste 101Evanston, IL 60201-5908 · (847) 491-1111
Sole ProprietorYes
Enumeration DateJanuary 2, 2014
NPI 1093136483 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 IL · 149005243
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.
1740 RIDGE AVE STE 101, Evanston, IL 60201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Nancy Levy Simon has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 3, 2020 through February 3, 2028.

Opt-Out Effective DateFebruary 3, 2020
Opt-Out In Effect ThroughFebruary 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1740 RIDGE AVE STE 101
EVANSTON, IL 60201

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 Nancy Simon's NPI number?

The NPI number for Nancy Simon is 1093136483. It was assigned to this individual provider in the NPPES registry on January 2, 2014.

Where is Nancy Simon located?

Nancy Simon practices at 1740 Ridge Ave Ste 101, Evanston, IL 60201. The listed phone number is (847) 491-1111.

What is Nancy Simon's specialty?

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

Is Nancy Simon enrolled in Medicare?

No. Nancy Simon has opted out of Medicare through February 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nancy Simon was last updated on January 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.