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JENNIFER SIMON LCSW
NPI 1093187486
Social Worker - Clinical in Oakland, CA

Active since October 23, 2015Opted out of Medicare · through Oct 1, 2027
2940 SUMMIT ST STE 2C, OAKLAND, CA 94609(510) 671-8186 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Simon Lcsw NPPES

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

JENNIFER SIMON LCSW (NPI 1093187486) is an individual clinical provider in Oakland, California, licensed in California (LCSW65973) and active in the NPI registry since October 2015. She has opted out of Medicare through October 1, 2027 and maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1093187486
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER SIMONCredential: LCSW
Location Address2940 SUMMIT ST STE 2COakland, CA 94609-3416
Mailing Address2940 Summit Street, Suite 2cOakland, CA 94609 · (510) 671-8186
Phone(510) 671-8186
Sole ProprietorYes
Enumeration DateOctober 23, 2015
Last NPPES UpdateSeptember 23, 2020
NPPES CertifiedSeptember 22, 2020
✔ NPI 1093187486 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 CA · LCSW65973
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.
2940 SUMMIT ST STE 2C, Oakland, CA 94609
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Secondary Practice Location 1

Location 12940 Summit Street, Suite 2COakland, CA 94609 · Phone (510) 671-8186

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennifer Simon Lcsw 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 October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

FORWARD ETHOS COUNSELING, PC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2940 SUMMIT ST STE 2C
OAKLAND, CA 94609
Alameda County (916) 382-2733
ESTEPHA FRANCISQUE LCSW
Social Worker (Clinical)
2940 SUMMIT ST STE 2C
OAKLAND, CA 94609
Alameda County (916) 382-2733
KATHLEEN DAY CCHT LMFT
Marriage & Family Therapist
2940 SUMMIT ST STE 2C
OAKLAND, CA 94609
Alameda County (650) 733-9447

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 Jennifer Simon's NPI number?

The NPI number for Jennifer Simon is 1093187486. It was assigned to this individual provider in the NPPES registry on October 23, 2015.

Where is Jennifer Simon located?

Jennifer Simon practices at 2940 Summit St Ste 2C, Oakland, CA 94609. The listed phone number is (510) 671-8186.

What is Jennifer Simon's specialty?

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

Is Jennifer Simon enrolled in Medicare?

No. Jennifer Simon has opted out of Medicare through October 1, 2027. 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 Jennifer Simon was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.