Individual provider Active NPI

Summer Denise Taylor, LMSW

  • Social Worker
  • Minot, ND
National Provider Identifier
1902423809
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
5787 Issued in ND
Practice address
2400 Burdick Expy E Ste 101
Minot, ND 58701-5006
Phone
(701) 335-6005
Fax
(701) 335-6005
NPI assigned
Jun 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Social Worker 104100000X 5787 ND Primary

Addresses

Primary practice location

2400 Burdick Expy E Ste 101
Minot, ND 58701-5006

Mailing address

2400 Burdick Expy E Ste 101
Minot, ND 58701-5006
Phone (701) 335-6005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231205002818 ND Practitioner - Clinical Social Worker 1052721123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robertson Counseling LLCGroup PAC ID 9133533680, 5 clinicians

Practice addresses (Care Compare)

2400 Burdick Expy E
Suite 101
Minot, ND 58701-5006
Phone (701) 335-6005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5787NDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Robertson Counseling, LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

2400 Burdick Expy E
Ste 101
Minot, ND 58701
Phone (701) 335-6005

720 Western Ave
Ste 205
Minot, ND 58701
Phone (701) 335-6005

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": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1902423809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BURDICK EXPY E STE 101",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587015006",
            "telephone_number": "701-335-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BURDICK EXPY E STE 101",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587015006",
            "telephone_number": "701-335-6005",
            "fax_number": "701-335-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SUMMER",
        "middle_name": "DENISE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "5787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.