Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Lynn Blum Simmons, LCSWA, LCASA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1972422582

Jennifer Lynn Blum Simmons, LCSWA, LCASA is an Addiction (Substance Use Disorder) Counselor in Wilmington, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2026
Specialties on file
2

Practice location Address checks out

615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone: (910) 343-0145
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P024064 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 31774 (NC)

Record details

NPI number1972422582
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA , LCASA
Sole proprietorYes
NPI enumeratedJuly 15, 2026
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

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