Active NPI
Preet Sumal, ACSW
- Clinical Social Worker
- Fresno, CA
National Provider Identifier
1942903653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW112018
- Practice address
- 6276 N 1St St Ste 103
Fresno, CA 93710-5400 - Phone
- (559) 712-4300
- Fax
- (559) 412-7564
- NPI assigned
- Mar 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW112018 | CA | Primary |
Addresses
Primary practice location
6276 N 1St St Ste 103
Fresno, CA 93710-5400
Mailing address
6276 N 1St St Ste 103
Fresno, CA 93710-5400
Phone (559) 712-4300
Other practice location 1
1040 E Herndon Ave Ste 101
Fresno, CA 93720-3158
Phone (559) 712-4300
Other practice location 2
4041 N Fresno St Ste 104
Fresno, CA 93726-4038
Phone (559) 712-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ASW112018 | Other | CA | BBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW112018 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1942903653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6276 N 1ST ST STE 103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105400",
"telephone_number": "559-712-4300",
"fax_number": "559-412-7564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6276 N 1ST ST STE 103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105400",
"telephone_number": "559-712-4300",
"fax_number": "559-412-7564"
}
],
"practiceLocations": [
{
"address_1": "1040 E Herndon Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937203158",
"country_code": "US",
"telephone_number": "559-712-4300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4041 N Fresno St Ste 104",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937264038",
"country_code": "US",
"telephone_number": "559-712-4300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUMAL",
"first_name": "PREET",
"credential": "ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-22",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW112018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BBS",
"identifier": "ASW112018",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.