Sommer, Carrie A
Sommer, Carrie A is an individual health care provider with primary practice located at 108 N Main St Ste 200 , South Bend IN 46601-1613. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Sommer, Carrie A can be contacted via phone (574) 234-3515.Contact Information
Primary practice address
108 N Main St Ste 200
South Bend IN 46601-1613
Phone: (574) 234-3515
Fax: (574) 235-3565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 34004645A | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34004645A | Indiana |
Profile Details
| NPI number | 1093884579 |
|---|---|
| LBN Legal business name | Sommer, Carrie A |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Apr 26th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093884579 | NPPES |
| Indiana | Other | 000000538677 | UNICARE |
| Indiana | Other | 000000538677 | UNICARE |
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