Sandra Gail Simmons | San Leandro, CA • PECOS Search

Sandra Gail Simmons

Social Worker

Behavioral Health & Social Service Providers

545 Estudillo Ave, San Leandro, CA 94577-4611

(510) 352-9200 (510) 352-5077

PECOS Enrollment

Based on the most recent information from CMS, provider Sandra Gail Simmons does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1265565899
Provider Type
Individual
Full Name
Simmons, Sandra Gail
Title
Ms.
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
3/13/2007
Last Updated
7/8/2007

Contact Information

Practice Location

545 Estudillo Ave, San Leandro, CA 94577-4611

(510) 352-8184

Mailing Location

3883 Wedgewood St, San Leandro, CA 94578-4175

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LCS 14524 California