Organization
JESSICA F SUMMERS LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA FAYE SUMMERS LCSW (OWNER)
(434) 466-6895
Entity
Organization
Contact information
Practice address
9327 MIDLOTHIAN TPKE STE 2G, NORTH CHESTERFIELD, VA 23235-4944
(804) 277-9034
Mailing address
2356 SCHENLEY DR, NORTH CHESTERFIELD, VA 23235-3318
(434) 466-6895
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007055
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904007055
STATE LICENSE BOARD OF HEALTH PROFESSIONS
VA
Enumeration date
04/02/2018
Last updated
04/02/2018
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