Summer Ahmed, LCSW
Individual provider Active NPI Clinical Social Worker · Kingsport, TN
NPI 1871209148 · NPPES record last updated Aug 14, 2025
Key facts
- NPI
- 1871209148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 9617 (TN)
- Practice address
- 1201 N Wilcox Dr
Kingsport, TN 37660-4967 - Phone
- (423) 218-9214
- NPI assigned
- Jan 30, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9617 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summer Days Therapy LLC | Clinical | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9617 | TN | Yes |
Addresses
Primary practice location
1201 N Wilcox Dr
Kingsport, TN 37660-4967
Mailing address
1201 N Wilcox Dr
Kingsport, TN 37660-4967
Phone (423) 218-9214
Other providers in Kingsport, TN
- Agilitas USA, Inc
- Agilitas USA, Inc
- Agilitas USA, Inc.
- Abrar Ahmad
- Manal Ahmad
- Ahp of East Tennessee PLLC
- Robert Bryce Ailshie
- Chaz M Ainsworth
- Megan Teresa Akins
- Mariam A Alawoki
All providers in Kingsport, TN · Clinical Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.