Individual provider Active NPI

Summer Suffridge, MSSA

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1780065433
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6611 Issued in OK
Practice address
300 N Meridian Ave
Suite 280-N
Oklahoma City, OK 73107-6560
Phone
(405) 942-5570
Fax
(405) 942-5603
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 6611 OK Primary

Addresses

Primary practice location

300 N Meridian Ave
Suite 280-N
Oklahoma City, OK 73107-6560

Mailing address

2613 N Council Ave
Blanchard, OK 73010-8027
Phone (405) 870-3084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20240126000610 OK Practitioner - Clinical Social Worker 2668834441 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6611OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Sep 1, 2025 Accepting new patients
Oklahoma Mental Health Council CurrentSince Jan 1, 2024 Accepting new patients
Oklahoma Mental Health Council CurrentSince Jan 1, 2024 Accepting new patients
Elm Tree Counseling and Consulting Clinical CurrentSince Sep 14, 2025 Accepting new patients
Specialized Alternatives for Families and Youth of Oklahoma, Inc. Past Accepting new patients

Locations

101 Park Ave
Oklahoma City, OK 73102
Phone (405) 442-4940

4400 N Lincoln Blvd
Oklahoma City, OK 73105

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1780065433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 N COUNCIL AVE",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "730108027",
            "telephone_number": "405-870-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MERIDIAN AVE",
            "address_2": "SUITE 280-N",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731076560",
            "telephone_number": "405-942-5570",
            "fax_number": "405-942-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUFFRIDGE",
        "first_name": "SUMMER",
        "credential": "MSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "6611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.