Elizabeth Sumerix, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801104453 Issued in MI

Practice address

1959 Thornapple River Dr SE
Grand Rapids, MI 49546-9706

Phone

(616) 226-6138

Fax

(616) 259-4214

NPI assigned

Aug 9, 2019

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)

Enrolled

Practice roles

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.

• Telebehavioral Health US

  • Clinical Social Worker
  • Belmont, MI
  • NPI 1194252692
  NPD

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1902451511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 THORNAPPLE RIVER DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495469706",
            "telephone_number": "616-226-6138",
            "fax_number": "616-259-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 THORNAPPLE RIVER DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495469706",
            "telephone_number": "616-226-6138",
            "fax_number": "616-259-4214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "376 E Apple Ave",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494423466",
            "country_code": "US",
            "telephone_number": "231-724-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMERIX",
        "first_name": "ELIZABETH",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801104453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Sullivan, LMSW
• Pia Sullivan
• Rachel Kristina Sullivan
• Shannon Sullivan, LMSW
• Tashanya Sullivan
• Zawng Naw Sumlut
• Ashley Frances Summers, MLP
• Daniel Francis Summers, MD
• Hanna Marie Summers
• Meghan Marie Summey, PA-C

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.