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Active NPI 1477089290 Individual Practitioner Male Practitioner

Kenneth Simpson , LCSW

Social Worker - Clinical • Matteson, IL

Professional Overview & Biography Verified Profile Summary

Kenneth Simpson, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Matteson, IL. Practice services are available at 4747 LINCOLN MALL DR STE 412 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4747 Lincoln Mall Dr Ste 412

Matteson, IL 604433821

Telephone 7083006977
Fax 7083006978
Associated Practice Facility / Clinic
🏢 One Direction Forward Inc. Facility NPI 1215392931

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Matteson, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.3 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
40 Specialists

Practicing in Matteson, IL (14000 Statewide)

Telehealth Adoption Rate
2.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-09
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License IL 149.021624

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License IL 23393

Definition to come...

Prevention Professional

NUCC Taxonomy Code: 405300000X

State License IL 22083

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1447089290 (IL)

Secondary Practice Locations

8000 Melton Rd

Gary, IN 464033114

Phone: 2199384651

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 21, 2019

Registered at 4747 LINCOLN MALL DR STE 412, MATTESON, IL 604433821 (Tel: 7083006977)

📍
Updated Business Mailing Address September 21, 2019

Registered at 4747 LINCOLN MALL DR STE 412, MATTESON, IL 604433821 (Tel: 7083006977)

👤
Provider Name / Credentials Updated September 21, 2019

Recorded as KENNETH SIMPSON, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2019

Counselor (License #23393 in IL)

NPI Profile Active May 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2017

Registered at 8000 MELTON RD, GARY, IN 464033114 (Tel: 2199384651)

📍
Updated Business Mailing Address May 11, 2017

Registered at 8000 MELTON RD, GARY, IN 464033114 (Tel: 2199384651)

👤
Provider Name / Credentials Updated May 11, 2017

Recorded as KENNETH SIMPSON, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2017

Counselor (License #509041 in IN)

🟢
Initial NPI Registration & Enumeration May 11, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1477089290
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2017
Last Update: April 09, 2022
Sole Proprietor: No

Mailing Address

4747 Lincoln Mall Dr Ste 412

Matteson, IL 604433821

Phone: 7083006977

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.