Tiffany Nakika Summers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C014174 Issued in NC

Practice address

123 Pronghorn Deer CT
Garner, NC 27529-7186

Phone

(919) 525-1461

NPI assigned

Jun 12, 2019

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, DC2 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

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 and National Provider Directory roles.

• BMSC NC LLC

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1831611649

  NC

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, DC, NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1679132633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 TIMBER DR E # 1021",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275296917",
            "telephone_number": "252-432-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 PRONGHORN DEER CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275297186",
            "telephone_number": "919-525-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "TIFFANY",
        "middle_name": "NAKIKA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gelisa Genae Stringer, LCMHA
• Ashley Nichole Stroup-Mishenko, RBT, BCBA, LBA
• Emily Sudweeks, RN, MSN, FNP-BC
• Erin Ebaugh Sukhu, MD
• Stacey Leigh Sullivan, MSW
• Supreme Anesthesia Care Services,LLC
• Supreme Anesthesia Services
• Kathryn Sweeney, PTA
• Elizabeth Margaret Swilley
• Sara Colmer Syvinski, ANP

• Clinical Social Worker in Garner, NC
• Providers in Garner, 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 Jun 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.