Individual provider Active NPI

Jessica F Summers, M.S.W,, L.C.S.W

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1346501996
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007055 Issued in VA
Practice address
9327 Midlothian Tpke Ste G
North Chesterfield, VA 23235-4964
Phone
(804) 277-9034
Fax
(804) 418-3765
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904007055 VA Primary

Addresses

Primary practice location

9327 Midlothian Tpke Ste G
North Chesterfield, VA 23235-4964

Mailing address

2110 Barclay Rd
Richmond, VA 23228-6022
Phone (804) 277-9034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20130205000541 VA Practitioner - Clinical Social Worker 1759535404 Practice locations: North Chesterfield, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9237 Midlothian Turnpike
Suite 2G
Richmond, VA 23235-4944

9327 Midlothian Tpke
Suite 2G
North Chesterfield, VA 23235-4944
Phone (804) 277-9034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904007055VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
James River Psychotherapy Past Accepting new patients
Jessica F Summers LCSW LLC Clinical PastSince May 1, 2018 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1346501996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 BARCLAY RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232286022",
            "telephone_number": "804-277-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9327 MIDLOTHIAN TPKE STE G",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354964",
            "telephone_number": "804-277-9034",
            "fax_number": "804-418-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "JESSICA",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "M.S.W,, L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.