DEIDRE SUMMERS (NPI# 1760845069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760845069 |
| Entity Type | Individual |
| Full Name | DEIDRE SUMMERS |
| Other Name | DEIDRE SUMMERS |
| Credential | 092131 |
| Practice Address |
125 Broad Street New York NY 10004 |
| Mailing Address |
125 Broad St New York NY 10004-2400 |
| Practice Telephone | 2123853030 |
| Practice Fax Number | 2123852380 |
| Mailing Telephone | 2123852380 |
| Mailing Fax Number | 2123852380 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
092131 | NY | Behavioral Health & Social Service Providers |
| Street Address |
125 BROAD STREET |
| City | NEW YORK |
| State | NY |
| Zip Code | 10004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144708751 | Elizabeth Duran | Student in an Organized Health Care Education/Training Program | 125 Broad Street, New York, NY 10004-1000 | 2018-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467920405 | Doris Virginia Acuna | Occupational Therapy Assistant | One Whitehall St., 9th Floor, New York, NY 10004 | 2018-11-07 |
| 1942799770 | Kylie M Becker | Speech-Language Pathologist | 7 Beaver St, New York, NY 10004 | 2018-05-07 |
| 1215458708 | Louisa Long-hei Chan | Registered Nurse | 125 Broad St # 3, New York, NY 10004 | 2017-07-05 |
| 1255861449 | Melyssa Astorga | Dentist | 11 Broadway Lbby 5, New York, NY 10004 | 2017-06-19 |
| 1912439381 | Lisa Hairston | Nurse Practitioner | 55 Broad St. 21st Floor, New York, NY 10004 | 2017-04-03 |
| 1487017042 | Dana Lynn Zwiebel | Dentist | 27 Whitehall St Fl 6, New York, NY 10004 | 2016-03-31 |
| 1942549233 | Thea Barbara Mccallion | Acupuncturist | 80 Broad Street, Suite 1401, New York, NY 10004 | 2013-02-06 |
| 1437448073 | Steven Lloyd Soignet | Internal Medicine | 55 Broad St., Suite 1840, New York, NY 10004 | 2011-04-05 |
| 1730478371 | James Bernard Dougherty Jr. | Internal Medicine | 55 Broad Street Suite 1840, Arcus Group, New York, NY 10004 | 2011-04-05 |
| 1114167871 | Alexis Pastera Penaflorida | Physical Medicine & Rehabilitation | 55 Broad Street, Suite #15f Downtown Spine Sports & Orthopedic Rehabili, New York, NY 10004 | 2009-02-20 |
| Find all providers in zip 10004 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558065 | Elizabeth Fagan | Social Worker | 108 E 91st St Apt 4c, New York, NY 10128-1659 | 2020-11-02 |
| 1255932885 | Kim Marie Yancey | Social Worker | 145 E 126th St Apt 3f, New York, NY 10035-1727 | 2020-11-02 |
| 1316546807 | Nicole D'angelo | Social Worker | 511 E 81st St Apt 11, New York, NY 10028-2512 | 2020-10-26 |
| 1730788993 | Nancy Bacher | Social Worker | 1770 Madison Ave, New York, NY 10035-4787 | 2020-10-20 |
| 1346849676 | Marlene St. Vil Darbouze | Social Worker | 156 W 119th St Apt 1, New York, NY 10026-1354 | 2020-10-19 |
| 1720686702 | Elizabeth Orent | Social Worker | 310 E 23rd St Apt 6c, New York, NY 10010-4703 | 2020-10-13 |
| 1548868607 | Prescott Psychotherapy Wellness Lcsw Pllc | Social Worker | 285 Lexington Ave Fl 2a, New York, NY 10016-3592 | 2020-10-12 |
| 1003413410 | Caprice Royal, Lcsw P.l.l.c | Social Worker | 368 Saint Nicholas Ave Apt 2a, New York, NY 10027-7678 | 2020-10-08 |
| 1669079364 | Nina Michelle Libson | Social Worker | 405 E 14th St Apt 6e, New York, NY 10009-2703 | 2020-10-06 |
| 1588279954 | Robert Mladinich | Social Worker | 6 Stuyvesant Oval Apt 5g, New York, NY 10009-2416 | 2020-09-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.