Lydia Michl Sommer, P018308

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P018308 Issued in NC

Practice address

5320 Bridgers Rd Ste 2
Shallotte, NC 28470-4737

Phone

(910) 769-9126

Fax

(910) 769-9169

NPI assigned

Oct 5, 2023

Last updated

Oct 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Anchor Psychological and Counseling Services PLLCGroup PAC ID 7517096290, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Anchor Psychological & Counseling Services PLLC

  • Clinical Psychologist
  • Hampstead, NC
  • NPI 1114124401

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Family Ties of Brunswick, LLC

  dba Family Ties Mental Health and Substance Abuse Counseling Services

  • Professional Counselor
  • Wilmington, NC
  • NPI 1831682665

  Clinical

  NPD

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1669252680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N 3RD ST STE 401",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013474",
            "telephone_number": "910-769-9126",
            "fax_number": "910-769-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 BRIDGERS RD STE 2",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704737",
            "telephone_number": "910-769-9126",
            "fax_number": "910-769-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMER",
        "first_name": "LYDIA",
        "middle_name": "MICHL",
        "credential": "P018308",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian M Shull, PHARMD
• Deborah Ann Silva, LCMHC, LCAS
• Brooke Simpson, LCMHCA
• Vishavpreet Singh, M.D.
• Greyson Louis Metro Smith
• Southeastern Healthcare Centers PC
• Southeastern United Care LLC
• Jenna Leander Spell, PHARMD
• Sarah Spell, LCSWA, LCASA
• Jacob David Spring, DPT

• Clinical Social Worker in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.

Verify at the official NPI Registry.