STEPHANIE L SIMON
NPI 1629605860
Social Worker - Clinical in North Fond Du Lac, WI

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
700 PARK RIDGE LN, NORTH FOND DU LAC, WI 54937(920) 926-7800 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2020, Mar 26, 2020 (2 updates tracked since 2020).

About Stephanie L Simon NPPES

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

STEPHANIE L SIMON (NPI 1629605860) is an individual clinical provider in North Fond Du Lac, Wisconsin, licensed in Wisconsin (9382-123) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1629605860
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTEPHANIE L SIMON
Location Address700 PARK RIDGE LNNorth Fond Du Lac, WI 54937-1385
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (920) 926-7800 · Fax (920) 921-3500
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 26, 2020
Last NPPES UpdateJuly 9, 20202 updates tracked since enumeration
NPPES CertifiedJuly 9, 2020
NPI 1629605860 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 WI · 9382-123
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.

700 PARK RIDGE LN, North Fond Du Lac, WI 54937

Other Identifiers 1

Medicaid100099738WI

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

Stephanie L Simon 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 ID2466873815
PECOS Enrollment IDI20200610003091
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 54937 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 12

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

Nurse Practitioner (Psychiatric/Mental Health)
700 PARK RIDGE LN
NORTH FOND DU LAC, WI 54937
Nurse Practitioner
700 PARK RIDGE LN
NORTH FOND DU LAC, WI 54937
Durable Medical Equipment & Medical Supplies
700 PARK RIDGE LN
NORTH FOND DU LAC, WI 54937
Physician Assistant
700 PARK RIDGE LN
NORTH FOND DU LAC, WI 54937
Acupuncturist
700 PARK RIDGE LN
NORTH FOND DU LAC, WI 54937
Counselor (Mental Health)
700 PARK RIDGE LN
NORTH FOND DU LAC, WI 54937
Nurse Practitioner (Psychiatric/Mental Health)
700 PARK RIDGE LN
NORTH FOND DU LAC, WI 54937
Pharmacy (Community/Retail Pharmacy)
700 PARK RIDGE LN
NORTH FOND DU LAC, WI 54937

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 Stephanie Simon's NPI number?

The NPI number for Stephanie Simon is 1629605860. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Stephanie Simon located?

Stephanie Simon practices at 700 Park Ridge Ln, North Fond Du Lac, WI 54937. The listed phone number is (920) 926-7800.

What is Stephanie Simon's specialty?

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

Is Stephanie Simon enrolled in Medicare?

Yes. Stephanie 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.

When was this NPI record last updated?

The NPPES record for Stephanie Simon was last updated on July 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.