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

MS. Jacquelyn Malloy Simmons, LCSWBCD

Individual provider Clinical Social Worker · NPI 1629085402

MS. Jacquelyn Malloy Simmons, LCSWBCD is a Clinical Social Worker in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

327 W Fayette St Ste 310
Syracuse, NY 13202-1275
Phone: (315) 426-0690
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 R016898 (NY)

Record details

NPI number1629085402
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWBCD
Sole proprietorYes
NPI enumeratedAugust 2, 2006
Last updated in NPPESJuly 8, 2007

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