Individual provider Active NPI

Summer Claire Staso, M.S, CF-SLP

  • Speech-Language Pathologist
  • Charlotte Hall, MD
National Provider Identifier
1922659168
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01851L Issued in MD
Practice address
29770 Three Notch Road, Suite 201
Charlotte Hall, MD 20622
Phone
(301) 290-0800
Fax
(301) 290-1313
NPI assigned
Sep 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 01851L MD Primary

Addresses

Primary practice location

29770 Three Notch Road, Suite 201
Charlotte Hall, MD 20622

Mailing address

22932 S Pembrook. Dr.
Hollywood, MD 20636
Phone (301) 290-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251203001262 NJ Practitioner - Qualified Speech Language Pathologist 0345652293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speech Pathology Solutions, LLCGroup PAC ID 4082873799, 9 clinicians

Practice addresses (Care Compare)

1064 S Main St
BLDG 2C
West Creek, NJ 08092-2914
Phone (609) 488-2650

2101 Rte
34 Suite F
Wall Township, NJ 07719-9172
Phone (732) 659-9536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
01851LMDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Pathology Solutions, LLC Speech-Language Pathologist CurrentSince Nov 6, 2025 Accepting new patients
Coordinated Movements Inc Speech-Language Pathologist PastSince Sep 29, 2019 Accepting new patients

Locations

2101 State Route 34
Ste F
Wall Township, NJ 07719
Phone (732) 659-9536

1064 S Main St
Bldg 2C
West Creek, NJ 08092
Phone (609) 234-1796

Organizations & group practices 2

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": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1922659168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22932 S PEMBROOK. DR.",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "20636",
            "telephone_number": "301-290-0800",
            "fax_number": "301-290-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29770 THREE NOTCH ROAD, SUITE 201",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "20622",
            "telephone_number": "301-290-0800",
            "fax_number": "301-290-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASO",
        "first_name": "SUMMER",
        "middle_name": "CLAIRE",
        "name_prefix": "Ms.",
        "credential": "M.S, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "01851L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte Hall, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.