Individual provider Active NPI

Robyn Amanda Summers, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1508376120
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000007113 Issued in TN
Practice address
10023 Dayflower Way
Knoxville, TN 37932-1697
Phone
(770) 540-5955
NPI assigned
Oct 10, 2017
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171120001381 FL Practitioner - Clinical Social Worker 9335406743 Reassigns benefits to 1 organization
I20200124001842 TN Practitioner - Clinical Social Worker 9335406743 Practice locations: Lenoir City, TN

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

LicenseStateTypeSpecialty
SW13974FLMDClinical Social Worker
CSW006796GAMDClinical Social Worker
LSW0000007113TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Oct 15, 2017 Accepting new patients
Summers Psych LLC CurrentSince Oct 10, 2019 Accepting new patients
MCR Health, Inc. CurrentSince Oct 15, 2017 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.

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

Sources for this page

Verify at the official NPI Registry.