Provider Demographics
NPI:1588172662
Name:WARREN-SIMMONS, DENISE REGINA (RN, PMHNP-C, FNE)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:REGINA
Last Name:WARREN-SIMMONS
Suffix:
Gender:
Credentials:RN, PMHNP-C, FNE
Other - Prefix:
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Mailing Address - Street 1:52 INGRAHAM PL
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07108-1416
Mailing Address - Country:US
Mailing Address - Phone:973-536-6462
Mailing Address - Fax:972-424-9339
Practice Address - Street 1:121 DEWEY ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07112-1357
Practice Address - Country:US
Practice Address - Phone:973-536-6462
Practice Address - Fax:973-242-9339
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-11
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 251S00000X
NJ26NR108476800253Z00000X, 253Z00000X
NY404606363LP0808X
NJ26NJ15291400363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251S00000XAgenciesCommunity/Behavioral Health
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health