Individual provider Active NPI

Summer Nicole Scardino, MSW

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1750049250
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
Valera Counseling Services CurrentSince Dec 5, 2021 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.

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.

Verify at the official NPI Registry.