Individual provider Active NPI

Dana Renee Summerfield, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1831437029
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008839 Issued in NC
Practice address
1708 Trawick Rd Ste 101
Raleigh, NC 27604-3897
Phone
(919) 896-7536
NPI assigned
Jan 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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 C008839 NC Primary

Addresses

Primary practice location

1708 Trawick Rd Ste 101
Raleigh, NC 27604-3897

Mailing address

1535 Pilot Riley Rd
Zebulon, NC 27597-6001
Phone (919) 495-1898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2024 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C008839NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1831437029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 PILOT RILEY RD",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275976001",
            "telephone_number": "919-495-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 TRAWICK RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043897",
            "telephone_number": "919-896-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERFIELD",
        "first_name": "DANA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.