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KAREN SUE SUMNER-MATSON LCSW
NPI 1104921717
Social Worker - Clinical in Charlotte, NC

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
1421 ORCHARD LAKE DRIVE, SUITE C, CHARLOTTE, NC 28270(704) 844-0181(904) 701-6279 Get Directions Write a Review

NPPES record last updated: September 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen Sue Sumner-matson Lcsw NPPES

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

KAREN SUE SUMNER-MATSON LCSW (NPI 1104921717) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C003915) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1104921717
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAREN SUE SUMNER-MATSONCredential: LCSW
Location Address1421 ORCHARD LAKE DRIVE, SUITE CCharlotte, NC 28270-1645
Mailing Address1421 Orchard Lake Drive, Suite CCharlotte, NC 28270-1645 · (704) 844-0181 · Fax (904) 701-6279
Phone(704) 844-0181
Fax(904) 701-6279
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateSeptember 14, 2006
Last NPPES UpdateSeptember 5, 2014
✔ NPI 1104921717 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 NC · C003915
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.
1421 ORCHARD LAKE DRIVE, Charlotte, NC 28270
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Other Names 1

Former Name (1)Karen Sue Sumner

Other Identifiers 2

Medicare ID-Type Unspecified2876436NC · Provider #
Medicaid6106309NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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

Karen Sue Sumner-matson 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 ID4082995634
PECOS Enrollment IDI20161220000817
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 28270 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 3

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

KENT SEITZ MD PA
General Practice
1421 ORCHARD LAKE DRIVE, SUITE C
CHARLOTTE, NC 28270
Mecklenburg County (704) 844-0181
ADVENE HEALTH GROUP, PLLC
Counselor (Addiction (Substance Use Disorder))
1421 ORCHARD LAKE DRIVE, SUITE C
CHARLOTTE, NC 28270
Mecklenburg County (704) 844-0181
DR. KENT SEITZ MD
Family Medicine (Addiction Medicine)
1421 ORCHARD LAKE DRIVE, SUITE C
CHARLOTTE, NC 28270
Mecklenburg County (704) 844-0181

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 Karen Sumner-matson's NPI number?

The NPI number for Karen Sumner-matson is 1104921717. It was assigned to this individual provider in the NPPES registry on September 14, 2006. The provider is also known as Karen Sue Sumner.

Where is Karen Sumner-matson located?

Karen Sumner-matson practices at 1421 Orchard Lake Drive Suite C, Charlotte, NC 28270. The listed phone number is (704) 844-0181.

What is Karen Sumner-matson's specialty?

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

Is Karen Sumner-matson enrolled in Medicare?

Yes. Karen Sumner-matson 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.

What insurance does Karen Sumner-matson accept?

Health plans from Blue Cross and Blue Shield of NC list Karen Sumner-matson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karen Sumner-matson was last updated on September 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.