Summer June Davenport, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

50164 Issued in TX

Practice address

8500 N Mopac Expy Ste 701
Austin, TX 78759-8347

Phone

(512) 760-0281

NPI assigned

Jul 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• North Star Counseling and Trauma Specialists, PLLC

  • Professional Counselor
  • Wayzata, MN
  • NPI 1750242715
  NPD

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1396397493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 SPECTRUM DR APT 1723",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174125",
            "telephone_number": "512-760-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 N MOPAC EXPY STE 701",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598347",
            "telephone_number": "512-760-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "SUMMER",
        "middle_name": "JUNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "summerdavenportlcsw@hotmail.com",
            "affiliation": "N",
            "address_1": "8500 N Mopac Expy Ste 701",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787598347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maureen V Dave, PA-C
• Rajvi Dave, CAA
• James Andrew Davenport, PHARMD
• Louis Andrew Davenport, M.D., M.P.H.
• Rebecca C Davenport, LCSW
• Victoria Davenport
• Geoffrey Edward Daves, MD
• David B. Tsai, M.D., P.a.
• David J Emmerich DDS MDS Inc
• David J Hammond OD PC

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.