Active NPI
Joseph L Summers Jr., LCSW
- Clinical Social Worker
- Hyannis, MA
National Provider Identifier
1407049927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 211056
- Practice address
- 105 Park St
Hyannis, MA 02601-5205 - Phone
- (508) 771-9599
- Fax
- (508) 771-1986
- NPI assigned
- Aug 20, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 211056 | MA | Primary |
Addresses
Primary practice location
105 Park St
Hyannis, MA 02601-5205
Mailing address
105 Park St
Hyannis, MA 02601-5205
Phone (508) 771-9599
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211056 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1407049927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 PARK ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026015205",
"telephone_number": "508-771-9599",
"fax_number": "508-771-1986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 PARK ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026015205",
"telephone_number": "508-771-9599",
"fax_number": "508-771-1986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "JOSEPH",
"middle_name": "L",
"name_suffix": "Jr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-20",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "211056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.