Individual provider Active NPI

Anne B. Summers, PH.D.

  • Clinical Social Worker
  • Branson, MO
National Provider Identifier
1205160256
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2009027108 Issued in MO
Practice address
574 State Highway 248
Suite 2
Branson, MO 65616-7740
Phone
(417) 239-1389
Fax
(417) 332-8680
NPI assigned
Sep 23, 2009
Last updated
Sep 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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 2009027108 MO Primary

Addresses

Primary practice location

574 State Highway 248
Suite 2
Branson, MO 65616-7740

Mailing address

574 State Highway 248
Suite 2
Branson, MO 65616-7740
Phone (417) 239-1389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20110922000611 MO Practitioner - Clinical Social Worker 0648441600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1310 E Kingsley St
Suite D
Springfield, MO 65804-7233
Phone (417) 894-3992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2009027108MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anne B Summers, LLC Clinical CurrentSince Dec 11, 2019 Accepting new patients

Locations

574 State Highway 248
Ste 2
Branson, MO 65616
Phone (417) 239-1389

1310 E Kingsley St
Ste C
Springfield, MO 65804
Phone (417) 882-7700

1310 E Kingsley St
Ste D
Springfield, MO 65804
Phone (417) 413-1407

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1205160256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 STATE HIGHWAY 248",
            "address_2": "SUITE 2",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167740",
            "telephone_number": "417-239-1389",
            "fax_number": "417-332-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 STATE HIGHWAY 248",
            "address_2": "SUITE 2",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167740",
            "telephone_number": "417-239-1389",
            "fax_number": "417-332-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "ANNE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2009027108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.