SUMMIT THERAPY LLC
NPI 1063288348
Social Worker - Clinical in Fairbanks, AK

Q: What is Summit Therapy LLC's NPI number?

The NPI number for Summit Therapy LLC is 1063288348. It was assigned to this organization in the NPPES registry on November 28, 2023.

Q: What is Summit Therapy LLC's specialty?

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

Active since November 28, 2023

250 CUSHMAN ST STE 4F, FAIRBANKS, AK 99701(907) 978-1943(360) 838-4806 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 7, 2024, Oct 4, 2024 (2 updates tracked since 2024).

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About Summit Therapy Llc NPPES

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

SUMMIT THERAPY LLC (NPI 1063288348) is a healthcare organization registered as a clinical in Fairbanks, Alaska and active in the NPI registry since November 2023. The organization lists Carrie L Miniard, Social Worker, as its authorized official.

NPPES Registry Identity

NPI1063288348

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameSUMMIT THERAPY LLC

Location Address250 CUSHMAN ST STE 4FFairbanks, AK 99701-4665

Mailing Address700 Sleater Kinney Rd Se Ste B189Lacey, WA 98503-1150 · (907) 978-1943 · Fax (360) 838-4806

Phone(907) 978-1943

Fax(360) 838-4806

Organization SubpartNo

Authorized OfficialCarrie L MiniardSocial Worker · (907) 978-1943

Enumeration DateNovember 28, 2023

Last NPPES UpdateNovember 7, 20242 updates tracked since enumeration

NPPES CertifiedNovember 7, 2024

✔ NPI 1063288348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

250 CUSHMAN ST STE 4F, Fairbanks, AK 99701

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

CARRIE L MINIARD LCSW

Social Worker (Clinical)