Individual
MRS. CARRIE A SOMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
108 N MAIN ST STE 200, SOUTH BEND, IN 46601-1613
(574) 234-3515
(574) 235-3565
Mailing address
108 N MAIN ST, SOUTH BEND, IN 46601-1625
(574) 234-3515
(574) 234-3565
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
34004645A
IN
1041C0700X
Clinical Social Worker
Primary
34004645A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000538677
UNICARE
IN
Enumeration date
11/07/2006
Last updated
04/26/2011
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