Provider Demographics
NPI:1124691894
Name:SUMMER, META (MSW)
Entity type:Individual
Prefix:
First Name:META
Middle Name:
Last Name:SUMMER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2103 JACQUELINE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-1060
Mailing Address - Country:US
Mailing Address - Phone:516-785-6957
Mailing Address - Fax:
Practice Address - Street 1:2103 JACQUELINE AVE
Practice Address - Street 2:
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-1060
Practice Address - Country:US
Practice Address - Phone:516-398-5303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health