SHELLEY G SIMON (NPI# 1336382217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336382217 |
| Entity Type | Individual |
| Full Name | SHELLEY G SIMON |
| Other Name | SHELLEY G DAVIS |
| Credential | LCSW |
| Practice Address |
212 N Main St Fairfax OK 74637-3023 |
| Practice Telephone | 9186423100 |
| Practice Fax Number | 9186425639 |
| Mailing Telephone | 9186423100 |
| Mailing Fax Number | 9186425639 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2017-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3049 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200240990A | 05 | |
| OK | GROUP PTAN | 394452YRHZ | 01 |
| Street Address |
212 N MAIN ST |
| City | FAIRFAX |
| State | OK |
| Zip Code | 74637-3023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841274271 | Deanna J. Cummings | Physician Assistant | 212 N Main St, Fairfax, OK 74637-3023 | 2005-11-30 |
| 1316111255 | Fairfax Medical Facilities Inc | Clinic/Center | 212 N Main St, Fairfax, OK 74637-3023 | 2008-04-22 |
| 1023138195 | Leslie C Christopher | Dentist | 212 N Main St, Fairfax, OK 74637-3023 | 2007-03-30 |
| 1932296209 | Rebecca A Rhodes | Nurse Practitioner | 212 N Main St, Fairfax, OK 74637-3023 | 2006-10-06 |
| 1770593600 | Paul Francis Ley Jr. | Obstetrics & Gynecology | 212 N Main St, Fairfax, OK 74637-3023 | 2006-08-09 |
| 1043226764 | James I Graham | Family Medicine | 212 N Main St, Fairfax, OK 74637-3023 | 2006-08-01 |
| 1538183173 | Fairfax Medical Facilities Inc | Clinic/Center | 212 N Main St, Fairfax, OK 74637-3023 | 2006-07-27 |
| 1619941754 | Neal Ross Brockbank | Family Medicine | 212 N Main St, Fairfax, OK 74637-3023 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588725485 | Michael S Ben Inc PC | Dentist | 161 N 2nd Street, Fairfax, OK 74637 | 2006-12-13 |
| 1306145339 | Cah Acquisition Company 12 LLC | Clinic/Center | 40 Hospital Rd, Fairfax, OK 74637 | 2011-03-16 |
| 1134451396 | Cah Acquisition Company 12 LLC | Medicare Defined Swing Bed Unit | 40 Hospital Rd, Fairfax, OK 74637 | 2010-02-12 |
| 1376554006 | Fairfax Healthcare Properties,llc | General Acute Care Hospital | Hwy 18 & Taft Avenue, Fairfax, OK 74637-0219 | 2006-08-10 |
| 1922143098 | Fairfax Healthcare Properties,l.l.c. | Medicare Defined Swing Bed Unit | Hwy 18 & Taft Avenue, Fairfax, OK 74637-0219 | 2007-02-20 |
| 1679613970 | Elmer Gari Owens | Physician Assistant | Hwy 18 & Taft Avenue, Fairfax, OK 74637-0219 | 2007-02-07 |
| 1861502635 | Madison Medical LLC | Durable Medical Equipment & Medical Supplies | 115 W. Maple, Fairfax, OK 74637-1533 | 2006-08-30 |
| 1962911123 | Oklahoma Advantage Storehouse, LLC | Durable Medical Equipment & Medical Supplies | 403 N Main St, Fairfax, OK 74637-1547 | 2017-09-20 |
| 1780853382 | Wanda W Priddy | Social Worker | 301 N 2nd St, Fairfax, OK 74637-2012 | 2008-02-27 |
| 1689628711 | Jean M Helmbright | Psychiatry & Neurology | 301 N 2nd St, Fairfax, OK 74637-2012 | 2006-05-22 |
| Find all providers in zip 74637 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234021 | Sabrina Kafin Weiskind | Social Worker | 13221 Point Pleasant Dr, Fairfax, VA 22033-3508 | 2020-10-30 |
| 1154920163 | Vera D Daniel | Social Worker | 4110 Chain Bridge Rd Ste 316, Fairfax, VA 22030-4020 | 2020-10-21 |
| 1154931632 | Brooke Varma | Social Worker | 2971 Lismore Ln, Fairfax, VA 22031-2138 | 2020-08-09 |
| 1922629179 | Emily Tilman | Social Worker | 3524 Country Hill Dr, Fairfax, VA 22030-1818 | 2020-04-29 |
| 1790318236 | Joyce L Montgomery | Social Worker | 10615 Judicial Dr Ste 103, Fairfax, VA 22030-7501 | 2020-02-12 |
| 1356972368 | Minoo Pakdaman | Social Worker | 4290 Birney Ln, Fairfax, VA 22033-4333 | 2020-01-29 |
| 1790323467 | Dorine Ndayizigiye | Social Worker | 10615 Judicial Dr Ste 301, Fairfax, VA 22030-7501 | 2019-12-12 |
| 1245897776 | Susan Morris Robertory | Social Worker | 9117 Kristin Ln, Fairfax, VA 22032-1424 | 2019-05-21 |
| 1083183032 | Brooke Diane Postlewaite | Social Worker | 4110 Chain Bridge Rd Ste 214, Fairfax, VA 22030-4020 | 2018-11-20 |
| 1871061499 | Michelle Brown | Social Worker | 8221 Willow Oaks Corporate Dr # L-306g, Fairfax, VA 22031-4512 | 2018-11-13 |
| Find all providers in FAIRFAX | ||||
Please comment or provide details below to improve the information on SHELLEY G SIMON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.