Provider Demographics
NPI:1346501996
Name:SUMMERS, JESSICA F (MSW,, LCSW)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:F
Last Name:SUMMERS
Suffix:
Gender:F
Credentials:MSW,, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 BARCLAY RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-6022
Mailing Address - Country:US
Mailing Address - Phone:804-277-9034
Mailing Address - Fax:
Practice Address - Street 1:9327 MIDLOTHIAN TPKE STE G
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-4964
Practice Address - Country:US
Practice Address - Phone:804-277-9034
Practice Address - Fax:804-418-3765
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-30
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040070551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical