Melissa Sumrow, MSW, QMHP

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

58 E Clinton St Ste 200
Joliet, IL 60432-4193

Phone

(815) 723-0331

NPI assigned

Nov 2, 2018

Sex

Female

Sole proprietor

No

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 IL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1285102756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16713 W APACHE DR",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604414282",
            "telephone_number": "630-631-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 E CLINTON ST STE 200",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604324193",
            "telephone_number": "815-723-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMROW",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "MSW, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sugni Sukhani, M.D.
• Melissa Anne Sullivan, LCSW
• Jazmin Octavia Summerise, BS, MS.
• Iisha Summers
• Summit Center for Mental Health Inc
• Sun Clinic LLC
• Sun Health, Inc.
• Nuntida Surachaicharn, DO
• Surendea M Gulati MD SC
• Surgery Center of Joliet, LLC

• Social Worker in Joliet, IL
• Providers in Joliet, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.