Individual
MR. DANIEL SOMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2823 GLENWOOD AVENUE, ROCKFORD, IL 61101
(815) 968-5342
(815) 968-4656
Mailing address
2823 GLENWOOD AVENUE, ROCKFORD, IL 61101
(815) 968-5342
(815) 968-4656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149019280
IL
1041C0700X
Clinical Social Worker
34004801A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000383548
ANTHEM BC/BS PROVIDER NUM
IN
Enumeration date
06/02/2006
Last updated
07/21/2022
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