Individual provider Active NPI

Golden Summers-Puckett, LCSW

  • Social Worker
  • Hot Springs, AR
National Provider Identifier
1326295403
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6679-C Issued in AR
Practice address
1249 Lakeside Rd
Hot Springs, AR 71901-7354
Phone
(501) 262-2766
Fax
(501) 262-2544
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6679-C AR Primary

Addresses

Primary practice location

1249 Lakeside Rd
Hot Springs, AR 71901-7354

Mailing address

1249 Lakeside Rd
Hot Springs, AR 71901-7354
Phone (501) 262-2766

Other names 1

  • Golden Summers Former name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1326295403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 LAKESIDE RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017354",
            "telephone_number": "501-262-2766",
            "fax_number": "501-262-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 LAKESIDE RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017354",
            "telephone_number": "501-262-2766",
            "fax_number": "501-262-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS-PUCKETT",
        "first_name": "GOLDEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "6679-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GOLDEN",
            "last_name": "SUMMERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.