Individual
MRS. AMY C SUMMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11462
SC
1041C0700X
Clinical Social Worker
Primary
17313
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11462
SC BOARD OF SOCIAL WORK EXAMINERS
SC
Enumeration date
01/13/2020
Last updated
05/23/2025
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