Active NPI
Robyn Amanda Summers, LCSW
- Clinical Social Worker
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSW0000007113
- Practice address
- 10023 Dayflower Way
Knoxville, TN 37932-1697 - Phone
- (770) 540-5955
- NPI assigned
- Oct 10, 2017
- Last updated
- Nov 7, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW13974 | FL | |
| Clinical Social Worker | 1041C0700X | CSW006796 | GA | |
| Clinical Social Worker | 1041C0700X | LSW0000007113 | TN | Primary |
Addresses
Primary practice location
10023 Dayflower Way
Knoxville, TN 37932-1697
Mailing address
10023 Dayflower Way
Knoxville, TN 37932-1697
Phone (770) 540-5955
Other names 1
- Amanda Husak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
915 Hwy 321 N
PMB 300
Lenior City, TN 37771
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW13974 | FL | MD | Clinical Social Worker |
| CSW006796 | GA | MD | Clinical Social Worker |
| LSW0000007113 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Current | Accepting new patients | |
| Summers Psych LLC | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients |
Locations
725 N 12th Ave
Arcadia, FL 34266
Phone (863) 494-1242
700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Knoxville, TN
- NPI 1518501519
-
dba Riverside Medical Center
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1508376120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10023 DAYFLOWER WAY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379321697",
"telephone_number": "770-540-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10023 DAYFLOWER WAY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379321697",
"telephone_number": "770-540-5955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "ROBYN",
"middle_name": "AMANDA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-10",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW13974",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW006796",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW0000007113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "HUSAK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Knoxville, TN
- Barbara Summers, M.D.
- Jeffrey Scott Summers, MD
- Kristin Summers, PHARMD
- Melodie Elyse Summers, RN
- Natalie Jill Summers
- Sarah Elizabeth Summers, APRN, PMHNP-BC
- Summit Medical Group, PLLC (Knoxville Pediatric Associates-Weisgarber)
- Summit Medical Group, PLLC (Summit Medical Group at Northshore)
- Summit Medical Group, PLLC (Tennessee Eye Care, a division of Summit Medical Group)
- Summit Medical Group, PLLC (Rheumatology Assoc. of East TN)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.