Sherenelle F Sumner, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R059041-1 Issued in NY

Practice address

790 Route 211 E
Middletown, NY 10941-1448

Phone

(845) 764-7977

Fax

(845) 566-3657

NPI assigned

Oct 18, 2006

Last updated

Oct 5, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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 NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1740361773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TOMS LN",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501727",
            "telephone_number": "845-566-3097",
            "fax_number": "845-566-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 ROUTE 211 E",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411448",
            "telephone_number": "845-764-7977",
            "fax_number": "845-566-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "SHERENELLE",
        "middle_name": "F",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R059041-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice R. Sullivan, PTA
• Alison Elizabeth Sullivan, M.D.
• Emma Marie Sullivan, FNP
• Linda Jean Sullivan
• Patricia Ann Sullivan, F.N.P.
• Theresa J Sumner, M.S., CCC/SLP
• Sun River Health Inc
• Hanjuan Sun
• Yu Sun, MD
• Padma Sundaram, MD

• Clinical Social Worker in Middletown, NY
• Providers in Middletown, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.