Provider Demographics
NPI:1851467377
Name:SOMMER, RHODA MILLS (LCSW, MSW)
Entity Type:Individual
Prefix:MS
First Name:RHODA
Middle Name:MILLS
Last Name:SOMMER
Suffix:
Gender:F
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHARPSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15215-2132
Mailing Address - Country:US
Mailing Address - Phone:412-782-2330
Mailing Address - Fax:412-784-1615
Practice Address - Street 1:205 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SHARPSBURG
Practice Address - State:PA
Practice Address - Zip Code:15215-2132
Practice Address - Country:US
Practice Address - Phone:412-782-2330
Practice Address - Fax:412-784-1615
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW005343L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA645521Medicare ID - Type Unspecified