Anne B Summers, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ANNE B SUMMERS, LLC

Practice address

1310 E. Kingsley St., Ste C
Springfield, MO 65804

Phone

(417) 894-3992

Fax

(417) 332-8680

NPI assigned

Jul 15, 2019

Organization subpart

No

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

Authorized official

Name

Anne Bredeman Summers, PHD, MSW, LCSWNPI 1205160256

Title

Licensed Clinical Social Worker

Phone

(417) 894-3992

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anne B. Summers, PH.D.

  • Clinical Social Worker
  • Branson, MO
  • NPI 1205160256
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1306498779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 W. MELBOURNE CT.",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65810",
            "telephone_number": "417-894-3992",
            "fax_number": "417-332-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E. KINGSLEY ST., STE C",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-894-3992",
            "fax_number": "417-332-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE B SUMMERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "BREDEMAN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "417-894-3992",
        "authorized_official_credential": "PHD, MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205160256",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siena Lauren Andrus, PA-C
• Mary Andrzejewski
• Meredith Emma Angelotti, PA-C
• Kristen Jean Angle, FNP
• Laura Elizabeth Ankrom, M.D.
• Zoya Ansari, DDS
• Caitlin Maree Antoff, FNP
• Harish Anumula
• Susan Marie Anzalone, ATC
• Apex Physical Therapy, LLC

• Clinical Social Worker in Springfield, MO
• Providers in Springfield, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.