Active NPI
Amie Summers, LGSW
- Social Worker
- Minnetonka, MN
National Provider Identifier
1316568991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 18248
- Practice address
- 12301 Whitewater Dr Ste 135
Minnetonka, MN 55343-4104 - Phone
- (651) 888-8474
- NPI assigned
- May 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 18248 | MN | Primary |
Addresses
Primary practice location
12301 Whitewater Dr Ste 135
Minnetonka, MN 55343-4104
Mailing address
12301 Whitewater Dr Ste 135
Minnetonka, MN 55343-4104
Phone (651) 888-8474
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | AmieSummers@protonmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18248 | MN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588636800000",
"number": "1316568991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12301 WHITEWATER DR STE 135",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553434104",
"telephone_number": "651-888-8474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12301 WHITEWATER DR STE 135",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553434104",
"telephone_number": "651-888-8474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "AMIE",
"credential": "LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-05",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "18248",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "AmieSummers@protonmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "12301 Whitewater Dr Ste 135",
"city": "Minnetonka",
"state": "MN",
"country_code": "US",
"postal_code": "553434104",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.