Active NPIIndividual providerSole proprietor

Renee Simone, APRN, LICSW, LADC I

Nurse Practitioner, Primary Care in Chicopee, Massachusetts

NPI Number1053497206
Practice location
71 Mary St, Chicopee, MA 01020-1139
Fax
413-536-8078
Last updated
May 29, 2019

Renee Simone is a Nurse Practitioner, Primary Care based in Chicopee, MA. Renee Simone practices in Chicopee, MA and has the professional credentials of APRN, LICSW, LADC I. The NPI Number for Renee Simone is 1053497206 and holds a License No. 1181 (MA). The current practice location address for Renee Simone is 71 Mary St, Chicopee, MA 01020-1139 and can be reached out via phone at 413-536-1918 and via fax at 413-536-8078.

Provider Profile Details

NPI Number
1053497206
Provider Name
Renee Simone
Credential
APRN, LICSW, LADC I
Provider Entity Type
Individual
Gender
Female
Address
71 Mary St, Chicopee, MA 01020-1139
Phone Number
413-536-1918
Fax Number
413-536-8078
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
Yes
Provider Enumeration Date
October 31, 2006
Last Update Date
May 29, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
71 Mary St
Chicopee, MA 01020-1139
Zip
01020-1139
Phone Number
413-536-1918
Fax Number
413-536-8078
Chicopee, MA 01020Get directions →

Provider Business Mailing Address Details

Address
71 Mary St Ste 1802
Chicopee, MA 01020-1139
City
Chicopee
State
MA
Zip
01020-1139
Phone Number
919-793-6862
Fax Number
413-315-8068

License Information

License Number (1)
1181
License State (1)
MA
License Number (2)
111795
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
MS1125839N
License State (3)
MA
Taxonomy (3)
Nurse Practitioner, Primary Care · 363LP2300X
License Number (4)
7234
License State (4)
CT
Taxonomy (4)
Nurse Practitioner, Primary Care · 363LP2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Renee Simone, APRN, LICSW, LADC I?

The NPI number of Renee Simone, APRN, LICSW, LADC I is 1053497206. It was assigned on October 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Renee Simone, APRN, LICSW, LADC I?

Renee Simone, APRN, LICSW, LADC I is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in MA under license number 1181.

Where does Renee Simone, APRN, LICSW, LADC I practice?

The practice location is 71 Mary St, Chicopee, MA 01020-1139. The office can be reached at 413-536-1918 (phone) or 413-536-8078 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053497206 directly on the NPPES registry website.

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