Individual provider Active NPI

Stephanie Summerfield

  • Clinical Social Worker
  • Owings Mills, MD
National Provider Identifier
1043973357
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3506 Gwynnbrook Ave
Owings Mills, MD 21117-1409
Phone
(410) 466-9200
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 27662 MD
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

3506 Gwynnbrook Ave
Owings Mills, MD 21117-1409

Mailing address

3706 Michelle Way
Baltimore, MD 21208-1742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120002939 MD Practitioner - Clinical Social Worker 2264967751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Community Services IncGroup PAC ID 0345141362, 12 clinicians

Practice addresses (Care Compare)

3506 Gwynnbrook Ave
Owings Mills, MD 21117-1409
Phone (410) 466-9200

5750 Park Heights Ave
Baltimore, MD 21215-3930
Phone (410) 466-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Community Services, Inc Clinical CurrentSince Aug 1, 2024 Accepting new patients
Jewish Community Services, Inc. Clinical Past Accepting new patients

Locations

5750 Park Heights Ave
Baltimore, MD 21215
Phone (410) 466-9200

3506 Gwynnbrook Ave
Owings Mills, MD 21117
Phone (410) 466-9200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1043973357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 MICHELLE WAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 GWYNNBROOK AVE",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171409",
            "telephone_number": "410-466-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERFIELD",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "27662",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.