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NPI Code Detail

MEDICARE: SUMMER FISCHER LCSWA

MEDICARE: SUMMER FISCHER LCSWA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerP016182NC

General Provider Information

NPI Number : 1326770512
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMMER FISCHER LCSWA
Provider Business Mailing Address
First Line : 158 NORTHERN BLVD
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-6764
Country : US
Telephone Number : 828-423-7554
Fax Number :
Provider Business Practice Location Address
First Line : 14057 US HIGHWAY 17 STE 200
Second Line :
City : HAMPSTEAD
State : NC
Zip : 28443-3793
Country : US
Telephone Number : 828-423-7554
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2022
Last Update Date : 06/27/2022

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Directions to “ SUMMER FISCHER LCSWA” Practice Location

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