Provider Demographics
NPI:1386818722
Name:SIMPSON, LANI C (LMSW-CC)
Entity type:Individual
Prefix:
First Name:LANI
Middle Name:C
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:LMSW-CC
Other - Prefix:
Other - First Name:LANI
Other - Middle Name:
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:650 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-4362
Mailing Address - Country:US
Mailing Address - Phone:336-607-8523
Mailing Address - Fax:
Practice Address - Street 1:650 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-4362
Practice Address - Country:US
Practice Address - Phone:336-607-8523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC198801041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical