Healthcare Provider Details

I. General information

NPI: 1144031337
Provider Name (Legal Business Name): SUMMER NICOLE SALMANS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2068 HEALTH CARE AVE
NAVARRE FL
32566-2901
US

IV. Provider business mailing address

2236 FOX DEN DR
NAVARRE FL
32566-2800
US

V. Phone/Fax

Practice location:
  • Phone: 866-337-1671
  • Fax:
Mailing address:
  • Phone: 260-452-8847
  • Fax: 850-312-7851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number22150
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW24125
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: