Stefanie Summers, LTD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

813 Issued in AK

Legal business name

STEFANIE SUMMERS, LTD

Practice address

10421 VFW Road
Suite 201
Eagle River, AK 99577-8032

Phone

(907) 841-2291

Fax

(907) 694-2291

NPI assigned

Jan 18, 2012

Last updated

Jan 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stefanie Summers, LCSWNPI 1174796940

Title

Owner, President

Phone

(907) 841-2291

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stefanie Lynn Summers, LCSW

  • Clinical Social Worker
  • Eagle River, AK
  • NPI 1174796940
  NPD (past) Authorized official

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1780955161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 VFW ROAD",
            "address_2": "SUITE 201",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778032",
            "telephone_number": "907-841-2291",
            "fax_number": "907-694-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10421 VFW ROAD",
            "address_2": "SUITE 201",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778032",
            "telephone_number": "907-841-2291",
            "fax_number": "907-694-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFANIE SUMMERS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "907-841-2291",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siri Srisaneha
• Kristin Stadsklev, CDC1
• Deborah Digrande Stallman
• Taylor Stapley
• Andrea Lynde Stearns, FNP-C
• Sarah Jean Stengle, DPT
• D'Yondre Xavier Stephen
• Jade Stovall
• Suzanne P Straub, ANP
• Shelby Lynn Sturgis

• Clinical Social Worker in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.