Active NPI
Summer Hanson, MSW
- Clinical Social Worker
- Fargo, ND
National Provider Identifier
1811130529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3940
- Practice address
- 1122 2ND St N
Fargo, ND 58102-3737 - Phone
- (701) 367-6454
- NPI assigned
- Apr 10, 2009
- 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 | 3940 | ND | Primary |
Addresses
Primary practice location
1122 2ND St N
Fargo, ND 58102-3737
Mailing address
1122 2ND St N
Fargo, ND 58102-3737
Phone (701) 367-6454
Other practice location 1
2101 Elm St N
Fargo, ND 58102-2417
Phone (701) 239-3700 ext. 94441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3940 | ND | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical of Michigan PC | Current | Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1811130529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 2ND ST N",
"city": "FARGO",
"state": "ND",
"postal_code": "581023737",
"telephone_number": "701-367-6454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 2ND ST N",
"city": "FARGO",
"state": "ND",
"postal_code": "581023737",
"telephone_number": "701-367-6454"
}
],
"practiceLocations": [
{
"address_1": "2101 Elm St N",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581022417",
"country_code": "US",
"telephone_number": "701-239-3700 x94441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSON",
"first_name": "SUMMER",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-10",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ND",
"license": "3940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.