Organization Active NPI

Jessica F Summers LCSW LLC

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1548766231
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007055 Issued in VA
Legal business name
JESSICA F SUMMERS LCSW LLC
Practice address
9327 Midlothian Tpke Ste 2G
North Chesterfield, VA 23235-4944
Phone
(804) 277-9034
NPI assigned
Apr 2, 2018
Last updated
Apr 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Authorized official

Name
Ms. Jessica Faye Summers, LCSWNPI 1346501996
Title
Owner
Phone
(434) 466-6895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 0904007055 VA Primary

Addresses

Primary practice location

9327 Midlothian Tpke Ste 2G
North Chesterfield, VA 23235-4944

Mailing address

2356 Schenley Dr
North Chesterfield, VA 23235-3318
Phone (434) 466-6895

Other identifiers 1

IdentifierTypeStateIssuer
0904007055OtherVASTATE LICENSE BOARD OF HEALTH PROFESSIONS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1548766231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 SCHENLEY DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353318",
            "telephone_number": "434-466-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9327 MIDLOTHIAN TPKE STE 2G",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354944",
            "telephone_number": "804-277-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA F SUMMERS LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-466-6895",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE BOARD OF HEALTH PROFESSIONS",
            "identifier": "0904007055",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.