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Renee Simone

Addiction Counselor (Substance Use Disorder) Clinical Social Worker Nurse Practitioner - Primary Care

71 Mary St
Chicopee , Massachusetts 01020-1139

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Addiction Counselor (Substance Use Disorder)
  • Clinical Social Worker
  • Nurse Practitioner - Primary Care

Languages spoken

  • English

Location

71 Mary St Chicopee , Massachusetts 01020-1139

First Address

  • Renee Simone
  • 71 Mary St Ste 1802
  • Chicopee, MA
  • Zip : 01020-1139
  • Fax : (413) 315-8068
  • Phone : (919) 793-6862

Second Address

  • Renee Simone
  • 71 Mary St
  • Chicopee, MA
  • Zip : 01020-1139
  • Fax : (413) 536-8078
  • Phone : (413) 536-1918

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FAQs


Where did Renee Simone attend graduate school?

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Where did Renee Simone do her residency?

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Where did Renee Simone do her fellowship?

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Is Renee Simone board certified?

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What type of doctor is Renee Simone

Nurse Practitioner - Primary Care

In what state does Renee Simone practice in?

Massachusetts

Where is Renee Simone ’s practice located?

71 Mary St , Chicopee, Massachusetts, 01020-1139

What is Renee Simone ’s gender?

Female

Is Renee Simone a sole practitioner?

No

Is Renee Simone accepting new patients?

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What languages does Renee Simone speak?

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Does Renee Simone accept insurance?

Yes, Renee Simone accepts insurance

Does Renee Simone offers telemedicine?

Renee Simone has not indicated if she offers telemedicine

What is Renee Simone ’s professional license number?

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What is Renee Simone ’s NPI number?

1053497206

Does Renee Simone have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 101YA0400X Addiction Counselor (Substance Use Disorder) 1181 MA
N 1041C0700X Clinical Social Worker 111795 MA
Y 363LP2300X Nurse Practitioner - Primary Care 7234 CT
N 363LP2300X Nurse Practitioner - Primary Care MS1125839N MA

National Provider Identifier

NPI 1053497206
Provider Name Renee Simone
First Address Chicopee, MA 01020-1139
Second Address Chicopee, MA 01020-1139
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 31/10/2006
Last Update Date 29/05/2019

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
1036490 NHP (01) MA
1053497206 (05) CT
1853171 (05) MA
2197528 CIGNA (01) MA
726247000 MAGELLAN (01) MA
861096515 AETNA (01) MA
P08297 BC/BS (01) MA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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