Provider Demographics
NPI:1689768814
Name:SOMMER, BETH F (MS, LCSW)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:F
Last Name:SOMMER
Suffix:
Gender:F
Credentials:MS, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7118 MCCALLUM ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-2935
Mailing Address - Country:US
Mailing Address - Phone:215-242-4496
Mailing Address - Fax:215-242-2075
Practice Address - Street 1:7118 MCCALLUM ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-2935
Practice Address - Country:US
Practice Address - Phone:267-879-1477
Practice Address - Fax:215-242-2075
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW-001082-L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical