Active NPI
Summer Patrick
- Social Worker
- Gaithersburg, MD
National Provider Identifier
1467811174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 20848
- Practice address
- 16220 Frederick Rd Ste 310
Gaithersburg
Gaithersburg, MD 20877-4020 - Phone
- (301) 264-1017
- Fax
- (301) 560-5558
- NPI assigned
- Feb 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 20848 | MD | Primary |
Addresses
Primary practice location
16220 Frederick Rd Ste 310
Gaithersburg
Gaithersburg, MD 20877-4020
Mailing address
7474 Greenway Center Dr Ste 730
Greenbelt, MD 20770-3523
Phone (301) 345-1022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
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": "1456185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1467811174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7474 GREENWAY CENTER DR STE 730",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703523",
"telephone_number": "301-345-1022",
"fax_number": "301-560-5558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16220 FREDERICK RD STE 310",
"address_2": "GAITHERSBURG",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208774020",
"telephone_number": "301-264-1017",
"fax_number": "301-560-5558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "SUMMER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-23",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "20848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.