PATRICIA SIMMONS LISW-CP
NPI 1578062584
Social Worker - Clinical in Lexington, SC

Active since February 05, 2018PECOS EnrolledAccepts Medicare Assignment
200 PLANTATION DR, LEXINGTON, SC 29072(203) 615-3264 Get Directions Write a Review

NPPES record last updated: February 5, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Patricia Simmons Lisw-cp NPPES

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

PATRICIA SIMMONS LISW-CP (NPI 1578062584) is an individual clinical provider in Lexington, South Carolina, licensed in South Carolina (10998) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1578062584
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePATRICIA SIMMONSCredential: LISW-CP
Location Address200 PLANTATION DRLexington, SC 29072-7930
Mailing Address200 Plantation DrLexington, SC 29072-7930
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateFebruary 5, 2018
✔ NPI 1578062584 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 SC · 10998
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.
200 PLANTATION DR, Lexington, SC 29072

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patricia Simmons Lisw-cp 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 ID5698037786
PECOS Enrollment IDI20180330000407
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 Reassignments

2

Medicare enrollment records show Patricia Simmons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
220 N MAIN ST STE 500
Greenville, SC 29601
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Che Behavioral Health Services Of South Carolina PC
  • 33 clinicians in this Medicare group
Mental Health
871 LOWCOUNTRY BLVD STE 200
Mount Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • 285 clinicians in this Medicare group

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 29072 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 $53.57 – $163.84
Typical copayment $0.00 (range $13.39 – $40.96)
Most-billed visit code NA
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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 Patricia Simmons's NPI number?

The NPI number for Patricia Simmons is 1578062584. It was assigned to this individual provider in the NPPES registry on February 5, 2018.

Where is Patricia Simmons located?

Patricia Simmons practices at 200 Plantation Dr, Lexington, SC 29072. The listed phone number is (203) 615-3264.

What is Patricia Simmons's specialty?

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

Is Patricia Simmons enrolled in Medicare?

Yes. Patricia Simmons 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.

Which organizations bill Medicare for Patricia Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Simmons reassigns Medicare benefits to 2 organizations: Che Behavioral Health Services Of South Carolina, P.C. (Greenville, SC) and Charleston Counseling Center PC (Mount Pleasant, SC). Each 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 Patricia Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patricia Simmons accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Patricia Simmons 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 Patricia Simmons was last updated on February 5, 2018. 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.