1. Home
  2. Directory
  3. Connecticut
  4. Hamden
  5. Social Worker
  6. NPI Profile

DR. JEFFREY WARREN SUMMERVILLE PSY.D., LCSW
NPI 1013926708
Social Worker - Clinical in Hamden, CT

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
295 WASHINGTON AVENUE, SUITE 9, HAMDEN, CT 06518(203) 287-8227(203) 287-9502 Get Directions Write a Review

NPPES record last updated: February 14, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeffrey Warren Summerville Psy.d., Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY WARREN SUMMERVILLE PSY.D., LCSW (NPI 1013926708) is an individual clinical provider in Hamden, Connecticut, licensed in Connecticut (000823) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (1978).

NPPES Registry Identity

NPI1013926708
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDR. JEFFREY WARREN SUMMERVILLECredential: PSY.D., LCSW
Location Address295 WASHINGTON AVENUE, SUITE 9Hamden, CT 06518-3025
Mailing Address295 Washington Avenue, Suite 9Hamden, CT 06518-3025 · (203) 287-8227 · Fax (203) 287-9502
Phone(203) 287-8227
Fax(203) 287-9502
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1978
Enumeration DateAugust 5, 2006
Last NPPES UpdateFebruary 14, 2012
✔ NPI 1013926708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 000823
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
295 WASHINGTON AVENUE, Hamden, CT 06518
Open in Google Maps ↗

Other Identifiers 3

Other140000823CT01Anthem Bcbs
Medicare ID-Type Unspecified800001824CT
Medicare UPIN140000823CT01CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffrey Warren Summerville Psy.d., Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729083704
PECOS Enrollment IDI20181206002854
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06518 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT MARTIN KOENIG PH.D.
Psychologist (Clinical)
295 WASHINGTON AVENUE, SUITE 9
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 287-8227

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Summerville's NPI number?

The NPI number for Jeffrey Summerville is 1013926708. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Jeffrey Summerville located?

Jeffrey Summerville practices at 295 Washington Avenue Suite 9, Hamden, CT 06518. The listed phone number is (203) 287-8227.

What is Jeffrey Summerville's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jeffrey Summerville enrolled in Medicare?

Yes. Jeffrey Summerville is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jeffrey Summerville was last updated on February 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.