Provider Demographics
NPI:1689769648
Name:SIMENSON, CAROL ANN (LISW LCSW)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ANN
Last Name:SIMENSON
Suffix:
Gender:F
Credentials:LISW LCSW
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:ANN
Other - Last Name:IWEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6900 PECOS RD
Mailing Address - Street 2:3A 333
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89086-4400
Mailing Address - Country:US
Mailing Address - Phone:702-791-9000
Mailing Address - Fax:
Practice Address - Street 1:6900 PECOS RD
Practice Address - Street 2:3A 333
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89086-4400
Practice Address - Country:US
Practice Address - Phone:702-791-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT7131041C0700X
NV4731N1041C0700X
ID243641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical