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Shaquala M Simmons

Case Manager/Care Coordinator β€’ Canfield, OH

Active NPI 1508479742 Individual Practitioner Female Practitioner
Practice location in NPPES

3620 Stutz Dr Ste C
Canfield, OH 444069176

Call 6147797063 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3620 Stutz Dr Ste C

Canfield, OH 444069176

Telephone 6147797063

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Canfield and Ohio

16 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Canfield, OH (35,328 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Canfield

0% of these 16 clinicians have the CMS telehealth indicator.

0% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-08-02
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Social Worker

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OH S.2001443-TRNE

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 02, 2021

Registered at 3620 STUTZ DR STE C, CANFIELD, OH 444069176 (Tel: 6147797063)

πŸ“
Updated Business Mailing Address August 02, 2021

Registered at 3227 SHIRLEY RD, YOUNGSTOWN, OH 445022925 (Tel: 6147797063)

πŸ‘€
Provider Name / Credentials Updated August 02, 2021

Recorded as SHAQUALA SIMMONS

βœ…
NPI Profile Active August 28, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 28, 2020

Registered at 2111 BELMONT AVE STE 5, YOUNGSTOWN, OH 445052428 (Tel: 3307442468)

πŸ“
Business Mailing Address (Initial Record) August 28, 2020

Registered at 2111 BELMONT AVE STE 5, YOUNGSTOWN, OH 445052428 (Tel: 3307442468)

πŸ‘€
Provider Name / Credentials (Initial Record) August 28, 2020

Recorded as SHAQUALA SIMMONS, SOCIAL WORK TRAINEE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2020

Social Worker (license number reported to NPPES: OH S.2001443-TRNE)

🟒
Initial NPI Registration & Enumeration August 27, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508479742
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 27, 2020
Last Update: August 02, 2021
Sole Proprietor: Yes

Mailing Address

3227 Shirley Rd

Youngstown, OH 445022925

Phone: 6147797063

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.