Active NPI
Cathy Summer, LCSW
- Clinical Social Worker
- Boulder, CO
National Provider Identifier
1609426469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09923959
- Practice address
- 350 Ponca Place
Suite 250
Boulder, CO 80303-3875 - Phone
- (303) 938-1110
- Fax
- (303) 938-1145
- NPI assigned
- Sep 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 09923959 | CO | Primary |
Addresses
Primary practice location
350 Ponca Place
Suite 250
Boulder, CO 80303-3875
Mailing address
350 Ponca Place
Suite 250
Boulder, CO 80303
Phone (303) 938-1110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191021002663 | CO | Practitioner - Clinical Social Worker | 2860724085 | Practice locations: Boulder, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Boulder, CO 80304
Phone (303) 946-0293
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09923959 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568332800000",
"number": "1609426469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 PONCA PLACE",
"address_2": "SUITE 250",
"city": "BOULDER",
"state": "CO",
"postal_code": "80303",
"telephone_number": "303-938-1110",
"fax_number": "303-938-1145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 PONCA PLACE",
"address_2": "SUITE 250",
"city": "BOULDER",
"state": "CO",
"postal_code": "803033875",
"telephone_number": "303-938-1110",
"fax_number": "303-938-1145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMER",
"first_name": "CATHY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-13",
"last_updated": "2019-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "09923959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.