Carrie Sommer Counseling LLC
Organization Active NPI Clinical Social Worker · Goshen, IN
NPI 1114558954 · NPPES record last updated Jan 30, 2020
Key facts
- NPI
- 1114558954
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- CARRIE SOMMER COUNSELING LLC
- Practice address
- 1930 W Lincoln Ave
Goshen, IN 46526-5907 - Phone
- (574) 534-2161
- NPI assigned
- Jan 30, 2020
- Organization subpart
- No
Authorized official
- Name
- Carrie Sommer, MSW, LCSW
- Title
- Owner
- Phone
- (574) 534-2161
Practitioners 1
-
Carrie A Sommer, MSW, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200313000281 | IN | Part B Supplier - Clinic/Group Practice | 2062840648 |
Receives reassigned benefits from 1 practitioner Practice locations: Goshen, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
1930 W Lincoln Ave
Goshen, IN 46526-5907
Mailing address
1930 W Lincoln Ave
Goshen, IN 46526-5907
Other providers in Goshen, IN
- Caring for Hoosiers, Inc
- Cheryl L Carlton- Deal
- Carly Lantz Counseling LLC
- Carol Ryan
- Carrie Miller Counseling, P.C.
- Lacey Carroll
- Lora C Carter Nafziger
- Jennifer Cass
- Esdras Castro-Valenzuela
- Janee Marie Cavazos
All providers in Goshen, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.