Healthcare Provider Details

I. General information

NPI: 1952947673
Provider Name (Legal Business Name): SUMMER FLETCHER MSW, LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2019
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3454 RIDGEWOOD DR
ERLANGER KY
41018-2887
US

IV. Provider business mailing address

1080 NIMITZVIEW DR STE 101
CINCINNATI OH
45230-4300
US

V. Phone/Fax

Practice location:
  • Phone: 859-905-8454
  • Fax:
Mailing address:
  • Phone: 513-999-5506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number260293
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2405178
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: