Individual provider Active NPI

Ronald Joseph Summa, LCSW AND LADC

  • Clinical Social Worker
  • Rocky Hill, CT
National Provider Identifier
1477126225
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
011309 Issued in CT
Practice address
25 Elm St
Rocky Hill, CT 06067-2305
Phone
(860) 563-8800
Fax
(860) 563-8805
NPI assigned
Jul 20, 2021
Last updated
Jul 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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 011309 CT Primary

Addresses

Primary practice location

25 Elm St
Rocky Hill, CT 06067-2305

Mailing address

827 Oronoke Rd Apt 8-1
Waterbury, CT 06708-3938
Phone (203) 232-2147

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
011309CTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1477126225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 ORONOKE RD APT 8-1",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083938",
            "telephone_number": "203-232-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ELM ST",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672305",
            "telephone_number": "860-563-8800",
            "fax_number": "860-563-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMA",
        "first_name": "RONALD",
        "middle_name": "JOSEPH",
        "credential": "LCSW AND LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "011309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.