SHELLEY G SIMON LCSW
NPI 1336382217
Social Worker - Clinical in Fairfax, OK

Active since April 08, 2009PECOS EnrolledAccepts Medicare Assignment
212 N MAIN ST, FAIRFAX, OK 74637(918) 642-3100(918) 642-5639 Get Directions Write a Review

NPPES record last updated: December 28, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 28, 2017, Dec 21, 2015 (2 updates tracked since 2015).

About Shelley G Simon Lcsw NPPES

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

SHELLEY G SIMON LCSW (NPI 1336382217) is an individual clinical provider in Fairfax, Oklahoma, licensed in Oklahoma (3049) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1336382217
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHELLEY G SIMONCredential: LCSW
Location Address212 N MAIN STFairfax, OK 74637-3023
Mailing Address212 N Main StFairfax, OK 74637-3023 · (918) 642-3100 · Fax (918) 642-5639
Fax(918) 642-5639
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateApril 8, 2009
Last NPPES UpdateDecember 28, 20172 updates tracked since enumeration
NPI 1336382217 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 OK · 3049
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.
212 N MAIN ST, Fairfax, OK 74637

Other Names 1

Former Name (1)Shelley G Davis

Other Identifiers 2

Other394452YRHZOK · Group Ptan
Medicaid200240990AOK

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shelley G Simon Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941458673
PECOS Enrollment IDI20120921000015
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74637 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 $53.00 – $162.61
Typical copayment $0.00 (range $13.25 – $40.65)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

Other Providers at the Same Location NPPES 9

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

Dentist (General Practice)
212 N MAIN ST
FAIRFAX, OK 74637
Family Medicine
212 N MAIN ST
FAIRFAX, OK 74637
Clinic/Center (Federally Qualified Health Center (FQHC))
212 N MAIN ST
FAIRFAX, OK 74637
Social Worker
212 N MAIN ST
FAIRFAX, OK 74637
Physician Assistant
212 N MAIN ST
FAIRFAX, OK 74637
Family Medicine
212 N MAIN ST
FAIRFAX, OK 74637
Obstetrics & Gynecology
212 N MAIN ST
FAIRFAX, OK 74637
Physician Assistant
212 N MAIN ST
FAIRFAX, OK 74637

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 Shelley Simon's NPI number?

The NPI number for Shelley Simon is 1336382217. It was assigned to this individual provider in the NPPES registry on April 8, 2009. The provider is also known as Shelley G Davis.

Where is Shelley Simon located?

Shelley Simon practices at 212 N Main St, Fairfax, OK 74637. The listed phone number is (918) 642-3100.

What is Shelley Simon's specialty?

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

Is Shelley Simon enrolled in Medicare?

Yes. Shelley Simon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shelley Simon accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Shelley Simon 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 Shelley Simon was last updated on December 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.