Active NPI
Karen Marie Sumpter, LMSW, ACSW, BCD
- Clinical Social Worker
- Southfield, MI
National Provider Identifier
1811013303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801020812
- Practice address
- 15700 Providence Drive
Suite 1005
Southfield, MI 48075 - Phone
- (313) 268-2073
- Fax
- (313) 748-7405
- NPI assigned
- Mar 22, 2007
- 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 | 6801020812 | MI | Primary |
Addresses
Primary practice location
15700 Providence Drive
Suite 1005
Southfield, MI 48075
Mailing address
15700 Providence Dr.
1005
Southfield, MI 48075
Phone (313) 268-2073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
31811 Middlebelt Rd
Suite 203
Farmington Hills, MI 48334-2368
Phone (248) 987-4721
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 2
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.
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- Bingham Farms, MI
- NPI 1144758392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602892800000",
"number": "1811013303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15700 PROVIDENCE DR.",
"address_2": "1005",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48075",
"telephone_number": "313-268-2073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15700 PROVIDENCE DRIVE",
"address_2": "SUITE 1005",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48075",
"telephone_number": "313-268-2073",
"fax_number": "313-748-7405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMPTER",
"first_name": "KAREN",
"middle_name": "MARIE",
"credential": "LMSW, ACSW, BCD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2020-10-17",
"certification_date": "2020-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801020812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.