Sommer Marie Charles

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15946 Issued in LA

Practice address

830 Belle Dr
Breaux Bridge, LA 70517-4630

Phone

(337) 344-1548

NPI assigned

Jul 14, 2023

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

Enrolled in LA

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Azalea Health ServicesGroup PAC ID 8628432028, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Azalea Health Services

  • Clinical Social Worker
  • Lafayette, LA
  • NPI 1043999170
  Medicare reassignment Care Compare group NPD
• Azalea Health Services Texas LLC

  • Clinical Social Worker
  • New Braunfels, TX
  • NPI 1326871807
  NPD

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1245919323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 BELLE DR",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705174630",
            "telephone_number": "337-344-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 BELLE DR",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705174630",
            "telephone_number": "337-344-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "SOMMER",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "15946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Pharmacy, Inc.
• Cecilia RX Inc
• Elizabeth G Champagne
• Jasmine Chapman
• Justyn Charles
• Tehmi Jahi Chassion, PHARM. D.
• Dennessa Chentlen
• Clues Care Transit LLC
• Bryan Joseph Collette
• Latisha Colline

• Clinical Social Worker in Breaux Bridge, LA
• Providers in Breaux Bridge, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.