Individual provider Active NPI

Summer Johnson, LICSW CAADC

  • Clinical Social Worker
  • Milford, MA
National Provider Identifier
1588375323
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW1140295 Issued in MA
Practice address
25 Birch St Ste A6
Milford, MA 01757-3585
Phone
(781) 551-0999
NPI assigned
Dec 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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 LICSW1140295 MA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2055 DE
Clinical Social Worker 1041C0700X Q1-0012159 DE

Addresses

Primary practice location

25 Birch St Ste A6
Milford, MA 01757-3585

Mailing address

400 N Dupont Hwy Apt D36
Dover, DE 19901-2579
Phone (603) 498-4077

Other practice location 1

400 N DuPont Hwy Apt D36
Dover, DE 19901-2579
Phone (603) 498-4077

Other practice location 2

955 Forest St
Dover, DE 19904-3401
Phone (301) 537-4652

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.psychologytoday.com/us/therapists/summer-johnson-milton-de/1053158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MA2 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
I20230331001022 DE Practitioner - Clinical Social Worker 5496120636 Reassigns benefits to 2 organizations
I20250618003150 MA Practitioner - Clinical Social Worker 5496120636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Balanced Mind Counseling CenterGroup PAC ID 4284900952, 3 clinicians
Boston Neurobehavioral Associates, LLCGroup PAC ID 9436142429, 159 clinicians
Child and Family Psychological Services PLLCGroup PAC ID 5991763823, 260 clinicians

Practice addresses (Care Compare)

115 N Broad St
Suite 4a
Middletown, DE 19709-1045
Phone (302) 377-6911

226 Field St
New Bedford, MA 02740-2133
Phone (508) 979-5557

25 Birch St
Milford, MA 01757-3585
Phone (781) 551-0999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2055DEMDAddiction (Substance Use Disorder) Counselor
Q1-0012159DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Neurobehavioral Associates, LLC CurrentSince Apr 1, 2025 Accepting new patients
Janice Hare LLC CurrentSince Sep 30, 2024 Accepting new patients
Balanced Mind Counseling Center Clinical CurrentSince Jul 31, 2023 Accepting new patients

Locations

115 N Broad St
Ste 4A
Middletown, DE 19709
Phone (302) 377-6911

10 S Walnut St
Fl 2
Milford, DE 19963

226 Field St
New Bedford, MA 02740
Phone (508) 817-5129

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1588375323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N DUPONT HWY APT D36",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199012579",
            "telephone_number": "603-498-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BIRCH ST STE A6",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573585",
            "telephone_number": "781-551-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N DuPont Hwy Apt D36",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199012579",
            "country_code": "US",
            "telephone_number": "603-498-4077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "955 Forest St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199043401",
            "country_code": "US",
            "telephone_number": "301-537-4652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SUMMER",
        "credential": "LICSW CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1140295",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": "2055",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.psychologytoday.com/us/therapists/summer-johnson-milton-de/1053158",
            "affiliation": "N",
            "endpointDescription": "Psychology Today link",
            "address_1": "400 N DuPont Hwy Apt D36",
            "city": "Dover",
            "state": "DE",
            "country_code": "US",
            "postal_code": "199012579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

Verify at the official NPI Registry.