Carrie A Sommer in South Bend - Clinical

Carrie A Sommer - NPI 1093884579

Carrie A Sommer is a Clinical in South Bend, Indiana. Carrie A Sommer practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carrie A Sommer is 1093884579. The last update date is 2011-04-26.

Carrie A Sommer's current location address is 108 N Main St, South Bend, Indiana. You can contact this provider via phone number 5742343515 and fax number 5742343565. The mailing address for Carrie A Sommer is 108 N Main St, South Bend, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Carrie A Sommer
Address 108 N Main St, South Bend, Indiana
Phone Number 5742343515
Fax Number 5742343565
Sole Proprietor N
Credentials MSW, LCSW

NPI Number Detail

NPI Number 1093884579
Provider Enumeration Date 2006-11-07
Last Updated Date 2011-04-26

Provider Mailing Address Detail

Address 108 N Main St
City South Bend
State Indiana (IN)
Post Code 466011625
Phone Number 5742343515
Fax Number 5742343565

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 34004645A
Definition:
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, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
538677 IN UNICARE
538677 IN ANTHEM

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FAQs about Carrie A Sommer

What is the unique 10-digit identification code assigned to Carrie A Sommer by the Centers for Medicare & Medicaid Services?

The Carrie A Sommer has been issued the NPI (National Provider Identifier) 1093884579, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Carrie A Sommer?

The Carrie A Sommer is physically situated at 108 N Main St, in the city of South Bend, state of IN, with the postal code 466011625.

What is Carrie A Sommer's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Carrie A Sommer is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

When did Carrie A Sommer receive its 1093884579 assignment?

The Carrie A Sommer was assigned its 1093884579 on 2006-11-07, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Carrie A Sommer, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Carrie A Sommer, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-04-26.

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