MEDICARE: MISS SUMMER LYN GRANGER LCSW

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
1	1041C0700X	Clinical Social Worker	132278	CA
2	101Y00000X	Counselor		CA
3	104100000X	Social Worker	112141	CA

General Provider Information

NPI Number	:	1407335128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SUMMER LYN GRANGER LCSW

Provider Business Mailing Address
First Line	:	640 IVY ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102-4136
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	640 IVY ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102-4136
Country	:	US
Telephone Number	:	714-865-9516
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2018
Last Update Date	:	09/24/2025

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1073547667 — INFECTIOUS DISEASES PHYSICIANS OF SAN DIEGO, INC.
Practice Location Address:

4136 BACHMAN PL
SAN DIEGO, CA
92103-2028

Practice Phone: 619-298-1443
Practice Fax: 619-298-6188

1326266081 — DR. GONZALO RAFAEL BALLON-LANDA M.D.
Practice Location Address:

4136 BACHMAN PL
SAN DIEGO, CA
92103-2028

Practice Phone: 619-238-1443
Practice Fax: 619-298-6188

1790172450 — ANDREA MARINA RAMSEY MD
Practice Location Address:

4136 BACHMAN PLACE
SAN DIEGO, CA
92103-2028

Practice Phone: 800-926-8273
Practice Fax:

1710606868 — HALEY FORD ATC
Practice Location Address:

2321 MORENA BLVD
SAN DIEGO, CA
92110-4136

Practice Phone: 510-371-3477
Practice Fax:

1699482679 — TESSA KWAN
Practice Location Address:

3404 FERNWOOD ST
SAN MATEO, CA
94403-4136

Practice Phone: 650-867-6486
Practice Fax:

Directions to “ MISS SUMMER LYN GRANGER LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.