Individual provider Active NPI

Alexzandria Diane Monae Summers

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1083553705
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12531-M Issued in NV
Practice address
6955 N Durango Dr Unit 1004
Las Vegas, NV 89149-4412
Phone
(725) 238-6900
NPI assigned
Mar 27, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12531-M NV Primary

Addresses

Primary practice location

6955 N Durango Dr Unit 1004
Las Vegas, NV 89149-4412

Mailing address

7618 N Decatur Blvd Apt 3192
Las Vegas, NV 89131-0012

Other practice location 1

7618 N Decatur Blvd Apt 3192
Las Vegas, NV 89131-0012
Phone (725) 252-0936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12531-MNVMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1083553705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7618 N DECATUR BLVD APT 3192",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891310012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 N DURANGO DR UNIT 1004",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494412",
            "telephone_number": "725-238-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7618 N Decatur Blvd Apt 3192",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891310012",
            "country_code": "US",
            "telephone_number": "725-252-0936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "ALEXZANDRIA",
        "middle_name": "DIANE MONAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "12531-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.