Active NPI
Alicia Sumner
- Clinical Social Worker
- Wilmington, NC
National Provider Identifier
1629441811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P014474
- Practice address
- 3825 Market St Ste 4
Wilmington, NC 28403-1426 - Phone
- (910) 777-5575
- Fax
- (910) 777-5273
- NPI assigned
- Nov 10, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | P014474 | NC | |
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | P014474 | NC | Primary |
Addresses
Primary practice location
3825 Market St Ste 4
Wilmington, NC 28403-1426
Mailing address
3825 Market St Ste 4
Wilmington, NC 28403-1426
Phone (910) 777-5575
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://wilmingtonmentalhealth.com/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P014474 | NC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1629441811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3825 MARKET ST STE 4",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284031426",
"telephone_number": "910-777-5575",
"fax_number": "910-777-5273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 MARKET ST STE 4",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284031426",
"telephone_number": "910-777-5575",
"fax_number": "910-777-5273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMNER",
"first_name": "ALICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-10",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "P014474",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P014474",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://wilmingtonmentalhealth.com/",
"affiliation": "N",
"endpointDescription": "Website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Data",
"address_1": "3825 Market St Ste 4",
"city": "Wilmington",
"state": "NC",
"country_code": "US",
"postal_code": "284031426",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wilmington, NC
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- Francine H. Sumpter, C-AUD
- Danielle Sundlov, MS, OTR/L
- Sunlight Medical Clinic PLLC
- Sunrise Counseling and Wellness, PLLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.