Deidre Summers, 092131

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

092131 Issued in NY

Practice address

125 Broad Street
New York, NY 10004

Phone

(212) 385-3030

Fax

(212) 385-2380

NPI assigned

Apr 4, 2016

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

Other names 1

• Deidre Summers Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Icl, Inc.

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1306220702
  NPD (past)
• Institute for Community Living , Inc.

  • Clinic/Center
  • New York, NY
  • NPI 1811571565
  NPD (past)

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1760845069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BROAD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042400",
            "telephone_number": "212-385-2380",
            "fax_number": "212-385-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BROAD STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10004",
            "telephone_number": "212-385-3030",
            "fax_number": "212-385-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "DEIDRE",
        "credential": "092131",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIDRE",
            "last_name": "SUMMERS",
            "credential": "20397",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Summer Health Medical Group, P.a.
• Margaret K Summer, LP
• Marguerite Summer
• David Alexander Summerhill
• Angela Summers, MA
• Janet E Summers, LCSW
• Johari Imara Summerville
• Summit Pharmacy LLC
• Summus Global, Inc.
• Kimberly L Sumner-Mayer, PHD, LMFT

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Apr 4, 2016; 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.