Individual provider Active NPI

Laura Inman Sumpter, LCSW

  • Clinical Social Worker
  • Cumming, GA
National Provider Identifier
1396044376
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004682 Issued in GA
Practice address
107 W Courthouse SQ Ste 278
Cumming, GA 30040-1610
Phone
(573) 723-2368
NPI assigned
Mar 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW004856 GA
Clinical Social Worker 1041C0700X CSW004682 GA Primary

Addresses

Primary practice location

107 W Courthouse SQ Ste 278
Cumming, GA 30040-1610

Mailing address

7190 Wyngate Dr
Cumming, GA 30040-6604
Phone (573) 723-2368

Other identifiers 1

IdentifierTypeStateIssuer
CSW004682OtherGALCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20181011001373 GA Practitioner - Clinical Social Worker 5395097810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

327 Dahlonega St
Suite A1902
Cumming, GA 30040-8220
Phone (573) 723-2368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MSW004856GAMDSocial Worker
CSW004682GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Sumpter LCSW CurrentSince Jun 1, 2021 Accepting new patients

Locations

327 Dahlonega St
Ste A1902
Cumming, GA 30040
Phone (470) 281-9400

107 W Courthouse Sq
Ste 278
Cumming, GA 30040
Phone (573) 723-2368

Organizations & group practices 1

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": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1396044376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7190 WYNGATE DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406604",
            "telephone_number": "573-723-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W COURTHOUSE SQ STE 278",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401610",
            "telephone_number": "573-723-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMPTER",
        "first_name": "LAURA",
        "middle_name": "INMAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW004856",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "CSW004682",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.