MEDICARE: MS. NANCY SOMMERS LCSW-C

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	05722	MD

General Provider Information

NPI Number	:	1508964958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCY SOMMERS LCSW-C

Provider Business Mailing Address
First Line	:	9808 CULVER ST
Second Line	:
City	:	KENSINGTON
State	:	MD
Zip	:	20895-3653
Country	:	US
Telephone Number	:	301-949-1726
Fax Number	:	301-933-3018

Provider Business Practice Location Address
First Line	:	3750 UNIVERSITY BLVD W
Second Line	:
City	:	KENSINGTON
State	:	MD
Zip	:	20895-2136
Country	:	US
Telephone Number	:	301-933-3018
Fax Number	:	301-933-3018

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/08/2007

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