Stefanie Lynn Summers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

813 Issued in AK

Practice address

10421 VFW Road
Suite 201
Eagle River, AK 99577-8032

Phone

(907) 841-2291

NPI assigned

Apr 11, 2008

Last updated

Jan 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stefanie.summers.1@32853.direct.athenahealth.com

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

• Stefanie Summers, LTD

  • Clinical Social Worker
  • Eagle River, AK
  • NPI 1780955161
  NPD (past) Authorized official
• Marvin Behavioral Health Ma PC

  • Psychologist
  • Boston, MA
  • NPI 1740860428

  Clinical

  NPD (past)

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1174796940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 VFW ROAD",
            "address_2": "SUITE 201",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778032",
            "telephone_number": "907-841-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10421 VFW ROAD",
            "address_2": "SUITE 201",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778032",
            "telephone_number": "907-841-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "STEFANIE",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D'Yondre Xavier Stephen
• Jade Stovall
• Suzanne P Straub, ANP
• Shelby Lynn Sturgis
• Terri Jean Sullivan
• Summit Dental Lab, Inc
• Summit Sunrise Counseling LLC
• Michael Sunder
• Realyn Sutter
• Jacob Szajkowski, CRNA

• Clinical Social Worker in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.