Provider Demographics
NPI:1972546257
Name:SIMMONS, WENDY M (LCSW MSW)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:M
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:LCSW MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5175 COLD SPRING CREAMERY RD
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-6228
Mailing Address - Country:US
Mailing Address - Phone:215-348-9640
Mailing Address - Fax:215-348-7311
Practice Address - Street 1:5175 COLD SPRING CREAMERY RD
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-6228
Practice Address - Country:US
Practice Address - Phone:215-348-9640
Practice Address - Fax:215-348-7311
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW013016101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA009875N5MMedicare ID - Type Unspecified
S55724Medicare UPIN