Kortney Sumner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

224599 Issued in MA

Practice address

369 Washington St Ste 202
Dedham, MA 02026-1869

Phone

(857) 200-9813

Fax

(857) 226-8772

NPI assigned

Aug 25, 2020

Last updated

Aug 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1821601220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 WASHINGTON ST STE 202",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261869",
            "telephone_number": "857-200-9813",
            "fax_number": "857-226-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 WASHINGTON ST STE 202",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261869",
            "telephone_number": "857-200-9813",
            "fax_number": "857-226-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "KORTNEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "224599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward T Sullivan
• Jennifer Marie Sullivan, OT/L
• Jill Sullivan
• Juliet Helene Sullivan, OD
• Nicole Anne Sullivan, OTR/L
• Xuefei Sun
• Sundry Care, LLC.
• Doneige Tanis Suprice, BSN, RN
• Cassie Sutton
• Lindsay Sykes

• Clinical Social Worker in Dedham, MA
• Providers in Dedham, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.