MR. KENNETH SIMPSON SR. LCSW
NPI 1477089290
Social Worker - Clinical in Matteson, IL

Active since May 11, 2017PECOS Enrolled
4747 LINCOLN MALL DR STE 412, MATTESON, IL 60443(708) 300-6977(708) 300-6978 Get Directions Write a Review

NPPES record last updated: April 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2022, Sep 21, 2019, May 11, 2017 (3 updates tracked since 2017).

About Mr. Kenneth Simpson Sr. Lcsw NPPES

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

MR. KENNETH SIMPSON SR. LCSW (NPI 1477089290) is an individual clinical provider in Matteson, Illinois, licensed in Illinois (149.021624) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Gary.

NPPES Registry Identity

NPI1477089290
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KENNETH SIMPSON SR.Credential: LCSW
Location Address4747 LINCOLN MALL DR STE 412Matteson, IL 60443-3821
Mailing Address4747 Lincoln Mall Dr Ste 412Matteson, IL 60443-3821 · (708) 300-6977 · Fax (708) 300-6978
Fax(708) 300-6978
Sole ProprietorNo
Enumeration DateMay 11, 2017
Last NPPES UpdateApril 9, 20223 updates tracked since enumeration
NPPES CertifiedApril 9, 2022
NPI 1477089290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149.021624
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 23393 (IL)
Also ListedPrevention ProfessionalTaxonomy 405300000X · License 22083 (IL)
4747 LINCOLN MALL DR STE 412, Matteson, IL 60443

Secondary Practice Location 1

Location 18000 Melton RdGary, IN 46403-3114 · Phone (219) 938-4651 · Fax (219) 938-4679

Other Identifiers 1

Medicaid1447089290IL

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 (PECOS)

Mr. Kenneth Simpson Sr. Lcsw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60443 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 2

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

Community/Behavioral Health
4747 LINCOLN MALL DR STE 412
MATTESON, IL 60443
Clinic/Center (Adult Mental Health)
4747 LINCOLN MALL DR STE 412
MATTESON, IL 60443

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 Kenneth Simpson's NPI number?

The NPI number for Kenneth Simpson is 1477089290. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Kenneth Simpson located?

Kenneth Simpson practices at 4747 Lincoln Mall Dr Ste 412, Matteson, IL 60443. The listed phone number is (708) 300-6977.

What is Kenneth Simpson's specialty?

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

Is Kenneth Simpson enrolled in Medicare?

Yes. Kenneth Simpson is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Simpson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kenneth Simpson 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 Kenneth Simpson was last updated on April 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.