National Provider Identifier
Shaddai Amore Simmons
Shaddai Amore Simmons is listed in the NPPES registry with a primary specialty of Social Worker in Rochester, NY and a listed phone number of (585) 654-1600.
Source: public NPPES record, last updated June 05, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1710671821
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- June 05, 2023
- Last Updated
- June 05, 2023
Practice Location
- 1 Mustard St
- Rochester, NY 14609-6980
Phone: (585) 654-1600
Specialties
- Social Worker (104100000X)
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Full Record
- NPI
- 1710671821
- Entity Type
- Individual
- Last Name
- Simmons
- First Name
- Shaddai
- Middle Name
- Amore
- Mailing Street Address
- 1 Mustard St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-6980
- Mailing Country
- US
- Practice Street Address
- 1 Mustard St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-6980
- Practice Country
- US
- Practice Phone
- (585) 654-1600
- Enumeration Date
- June 05, 2023
- Last Updated
- June 05, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 03, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)