Provider Demographics
NPI:1851642870
Name:SIMEONE, RITA NMN (LCSW, LICSW)
Entity type:Individual
Prefix:MS
First Name:RITA
Middle Name:NMN
Last Name:SIMEONE
Suffix:
Gender:F
Credentials:LCSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15325 SE 155TH PL UNIT G1
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-6316
Mailing Address - Country:US
Mailing Address - Phone:978-992-2557
Mailing Address - Fax:
Practice Address - Street 1:22500 SE 64TH PL STE 230
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-8111
Practice Address - Country:US
Practice Address - Phone:978-992-2557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-01
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA167591041C0700X
MA1170651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical