Active NPI
Jessica F Summers LCSW LLC
- Clinical Social Worker
- North Chesterfield, VA
National Provider Identifier
1548766231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904007055
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jessica Faye Summers, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0904007055 | Other | VA | STATE LICENSE BOARD OF HEALTH PROFESSIONS |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- North Chesterfield, VA
- NPI 1346501996
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.