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FERN DEBRA SIMON LCSW-R
NPI 1760511554
Social Worker - Clinical in Baldwin, NY

Active since March 05, 2007PECOS Enrolled
732 GLOVER PL, BALDWIN, NY 11510(516) 546-0102(516) 546-2684 Get Directions Write a Review

NPPES record last updated: November 17, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fern Debra Simon Lcsw-r NPPES

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

FERN DEBRA SIMON LCSW-R (NPI 1760511554) is an individual clinical provider in Baldwin, New York, licensed in New York (R045230-1) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760511554
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameFERN DEBRA SIMONCredential: LCSW-R
Location Address732 GLOVER PLBaldwin, NY 11510-3505
Mailing Address732 Glover PlBaldwin, NY 11510-3505 · (516) 546-0102 · Fax (516) 546-2684
Phone(516) 546-0102
Fax(516) 546-2684
Sole ProprietorYes
Enumeration DateMarch 5, 2007
Last NPPES UpdateNovember 17, 2015
✔ NPI 1760511554 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 NY · R045230-1
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.
732 GLOVER PL, Baldwin, NY 11510
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Other Identifiers 10

OtherP2063316NY · Oxford
Other290-902000NY · Magellan
Other225747586NY · United Behavioral Health
Other7481514NY · Ghi
OtherN7B721NY · Blue Cross Blue Shield
OtherA349806NY · Value Options
Other7373255NY · Aetna
Medicare UPIN1760511664NY
Medicare ID-Type Unspecified02123128NY
Medicare ID-Type UnspecifiedN7B721NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fern Debra Simon Lcsw-r 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.

Medicare Billing Reassignments

2

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

Uplift Behavioral Health PC
218 mi
Adult Mental Health
4800 HAMPDEN LN STE 200B
Bethesda, MD 20814
  • Reassigned Medicare billing, New York enrollment
  • 43 clinicians in this Medicare group
NPI 1629740410 (202) 932-7607
Grow Healthcare Group PA
1,093 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 11510 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 $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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

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

FAMILY PRESERVATION SERVICES OF LONG ISLAND,INC.
Voluntary or Charitable
732 GLOVER PL
BALDWIN, NY 11510
Nassau County (516) 546-0102

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 Fern Simon's NPI number?

The NPI number for Fern Simon is 1760511554. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Fern Simon located?

Fern Simon practices at 732 Glover Pl, Baldwin, NY 11510. The listed phone number is (516) 546-0102.

What is Fern Simon's specialty?

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

Is Fern Simon enrolled in Medicare?

Yes. Fern Simon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Fern Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fern Simon reassigns Medicare benefits to 2 organizations: Uplift Behavioral Health PC (Bethesda, MD) and Grow Healthcare Group PA (Miami, FL). 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 Fern Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Fern Simon was last updated on November 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.