Provider Demographics
NPI:1902253685
Name:SIMMONDS, DIONNE (PHD, LCSW, CAC)
Entity Type:Individual
Prefix:
First Name:DIONNE
Middle Name:
Last Name:SIMMONDS
Suffix:
Gender:F
Credentials:PHD, LCSW, CAC
Other - Prefix:MRS
Other - First Name:DIONNE
Other - Middle Name:
Other - Last Name:SIMMONDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LCSW, CAC
Mailing Address - Street 1:PO BOX 813
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00804-0813
Mailing Address - Country:US
Mailing Address - Phone:340-514-4770
Mailing Address - Fax:
Practice Address - Street 1:9151 ESTATE THOMAS
Practice Address - Street 2:STE 204
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2716
Practice Address - Country:US
Practice Address - Phone:340-774-2228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-23
Last Update Date:2017-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI1-18718-1B1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical