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BEVERLY M SIMMONS LCSW
NPI 1942311626
Social Worker - Clinical in Raleigh, NC

Active since August 31, 2006Opted out of Medicare · through Apr 1, 2028
4016 BARRETT DR STE 104, RALEIGH, NC 27609(919) 824-9102(919) 883-4515 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Beverly M Simmons Lcsw NPPES

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

BEVERLY M SIMMONS LCSW (NPI 1942311626) is an individual clinical provider in Raleigh, North Carolina, licensed in North Carolina (C005387) and active in the NPI registry since August 2006. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1942311626
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBEVERLY M SIMMONSCredential: LCSW
Location Address4016 BARRETT DR STE 104Raleigh, NC 27609-6623
Mailing Address4016 Barrett Dr Ste 104Raleigh, NC 27609-6623 · (919) 824-9102 · Fax (919) 883-4515
Phone(919) 824-9102
Fax(919) 883-4515
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 23, 2023
NPPES CertifiedAugust 23, 2023
✔ NPI 1942311626 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 NC · C005387
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.
4016 BARRETT DR STE 104, Raleigh, NC 27609
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Other Identifiers 1

OtherC005387NC · Nc License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Beverly M Simmons Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Beverly Simmons's NPI number?

The NPI number for Beverly Simmons is 1942311626. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Beverly Simmons located?

Beverly Simmons practices at 4016 Barrett Dr Ste 104, Raleigh, NC 27609. The listed phone number is (919) 824-9102.

What is Beverly Simmons's specialty?

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

Is Beverly Simmons enrolled in Medicare?

No. Beverly Simmons has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Beverly Simmons was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.