Active NPI
Summer Nicole Scardino, MSW
- Clinical Social Worker
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 4680 Brownsboro Rd RM A2
Winston Salem, NC 27106-3428 - Phone
- (336) 261-6440
- Fax
- (336) 261-6440
- NPI assigned
- Dec 1, 2021
- Last updated
- Dec 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | NU | Primary |
Addresses
Primary practice location
4680 Brownsboro Rd RM A2
Winston Salem, NC 27106-3428
Mailing address
4680 Brownsboro Rd RM A2
Winston Salem, NC 27106-3428
Phone (336) 261-6440
Other practice location 1
255 Main Church Rd
Mocksville, NC 27028-5845
Phone (367) 936-1773
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Winston-Salem | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valera Counseling Services | Current | Accepting new patients |
Locations
4680 Brownsboro Rd
Rm A2
Winston Salem, NC 27106
Phone (336) 261-6440
Organizations & group practices 1
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.
-
dba Valera Counseling Services, PLLC
- Mental Health Counselor
- Winston Salem, NC
- NPI 1407335953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1750049250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4680 BROWNSBORO RD RM A2",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063428",
"telephone_number": "336-261-6440",
"fax_number": "336-261-6440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4680 BROWNSBORO RD RM A2",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063428",
"telephone_number": "336-261-6440",
"fax_number": "336-261-6440"
}
],
"practiceLocations": [
{
"address_1": "255 Main Church Rd",
"address_purpose": "LOCATION",
"city": "Mocksville",
"state": "NC",
"postal_code": "270285845",
"country_code": "US",
"telephone_number": "367-936-1773",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCARDINO",
"first_name": "SUMMER",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-01",
"last_updated": "2021-12-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Winston-Salem",
"affiliation": "N",
"endpointDescription": "Office location",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4680 Brownsboro Rd Rm A2",
"city": "Winston Salem",
"state": "NC",
"country_code": "US",
"postal_code": "271063428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.