NPIMap

Organization Active NPI

Summit Clinical Services, LLC

  • Clinical Social Worker
  • Leonardtown, MD
National Provider Identifier
1083941801
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12609 Issued in MD
Legal business name
SUMMIT CLINICAL SERVICES, LLC
Practice address
25484 Point Lookout Rd
Suite 302 B
Leonardtown, MD 20650-3801
Phone
(301) 475-7822
Fax
(301) 475-7822
NPI assigned
Nov 16, 2009
Last updated
Nov 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
Sarah Elizabeth Mead, LCSW-CNPI 1609007079
Title
Owner/Therapist
Phone
(301) 481-8749

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 12609 MD Primary

Addresses

Primary practice location

25484 Point Lookout Rd
Suite 302 B
Leonardtown, MD 20650-3801

Mailing address

25484 Point Lookout Rd
Suite 302 B
Leonardtown, MD 20650-3801
Phone (301) 475-7822

National Provider Directory

National Provider Directory

Locations

25484 Point Lookout Rd
Ste 302B
Leonardtown, MD 20650
Phone (301) 475-7822

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1083941801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25484 POINT LOOKOUT RD",
            "address_2": "SUITE 302 B",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503801",
            "telephone_number": "301-475-7822",
            "fax_number": "301-475-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25484 POINT LOOKOUT RD",
            "address_2": "SUITE 302 B",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503801",
            "telephone_number": "301-475-7822",
            "fax_number": "301-475-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CLINICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "MEAD",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "301-481-8749",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.