Mr Kenneth Simpson Sr, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Matteson, Illinois. His current practice location is
4747 Lincoln Mall Dr Ste 412, Matteson, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 300-6977.
Mr Kenneth Simpson Sr is licensed to practice in Illinois (license number 149.021624) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477089290.
Healthcare Provider's Profile
Full Name | Mr Kenneth Simpson Sr |
---|
Gender | Male |
---|
Speciality | Social Worker - Clinical |
---|
Location | 4747 Lincoln Mall Dr Ste 412, Matteson, Illinois |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477089290
- Provider Enumeration Date: 05/11/2017
- Last Update Date: 04/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 6709118409
- Enrollment ID: I20191030001227
Medical Identifiers
Medical identifiers for Mr Kenneth Simpson Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477089290 | NPI | - | NPPES |
1447089290 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 23393 (Illinois) | Secondary |
405300000X | Prevention Professional | 22083 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149.021624 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kenneth Simpson Sr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Kenneth Simpson Sr, LCSW 4747 Lincoln Mall Dr Ste 412, Matteson, IL 60443-3821 Ph: (708) 300-6977 | Mr Kenneth Simpson Sr, LCSW 4747 Lincoln Mall Dr Ste 412, Matteson, IL 60443-3821 Ph: (708) 300-6977 |
Reviews and Comments