Provider Demographics
NPI:1053101105
Name:SIMONS, CATHERINE ELLIS (MSW, LSW)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ELLIS
Last Name:SIMONS
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1164 S ACOMA ST APT 215C
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-1597
Mailing Address - Country:US
Mailing Address - Phone:912-602-9200
Mailing Address - Fax:
Practice Address - Street 1:1164 S ACOMA ST APT 215C
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-1597
Practice Address - Country:US
Practice Address - Phone:912-602-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0009926145104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker