Provider Demographics
NPI:1427862887
Name:BLAIR, SOMMER CAGLE (MSW, LISW-CP)
Entity type:Individual
Prefix:
First Name:SOMMER
Middle Name:CAGLE
Last Name:BLAIR
Suffix:
Gender:F
Credentials:MSW, LISW-CP
Other - Prefix:
Other - First Name:SOMMER
Other - Middle Name:ASHLEY
Other - Last Name:CAGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:915 PENN AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-3815
Mailing Address - Country:US
Mailing Address - Phone:803-260-5223
Mailing Address - Fax:
Practice Address - Street 1:120 COBBLERS GLEN CT
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-8212
Practice Address - Country:US
Practice Address - Phone:802-260-5223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC162811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical