Active NPI
Alexa J Summers, MSW, LCSW
- Clinical Social Worker
- Columbia, MO
National Provider Identifier
1477959344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2017002037
- Practice address
- 3401 Berrywood Dr Ste 203
Columbia, MO 65201-6515 - Phone
- (573) 777-8455
- NPI assigned
- Nov 5, 2014
- Last updated
- Aug 25, 2026
- Sex
- Female
- 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 | 2017002037 | MO | Primary |
Addresses
Primary practice location
3401 Berrywood Dr Ste 203
Columbia, MO 65201-6515
Mailing address
PO Box 844715
Kansas City, MO 64184-4715
Phone (417) 761-5000
Other practice location 1
210 N Williams St Unit C
Moberly, MO 65270-1583
Phone (660) 263-7651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490027318 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017002037 | MO | MD | Clinical Social Worker |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Burrell Behavioral Health
- Community/Behavioral Health Agency
- Springfield, MO
- NPI 1275541740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1477959344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844715",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641844715",
"telephone_number": "417-761-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 BERRYWOOD DR STE 203",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016515",
"telephone_number": "573-777-8455"
}
],
"practiceLocations": [
{
"address_1": "210 N Williams St Unit C",
"address_purpose": "LOCATION",
"city": "Moberly",
"state": "MO",
"postal_code": "652701583",
"country_code": "US",
"telephone_number": "660-263-7651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUMMERS",
"first_name": "ALEXA",
"middle_name": "J",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-05",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2017002037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "490027318",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.