Provider Demographics
NPI:1972743078
Name:SIMS SOCIAL SERVICES, LLC
Entity type:Organization
Organization Name:SIMS SOCIAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:M
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:SR
Authorized Official - Credentials:LCSW-BACS
Authorized Official - Phone:504-362-9010
Mailing Address - Street 1:P.O. BOX 1525
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70073-1525
Mailing Address - Country:US
Mailing Address - Phone:504-362-9010
Mailing Address - Fax:504-362-9070
Practice Address - Street 1:2550 BELLE CHASSE HWY
Practice Address - Street 2:SUITE 150
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70053-6758
Practice Address - Country:US
Practice Address - Phone:504-362-9010
Practice Address - Fax:504-362-9070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA75701041C0700X
1041C0700X, 251S00000X, 261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2185187Medicaid
LA4H600OtherMEDICARE