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EILEEN BRADLEY SUMMIT LCSW
NPI 1124646955
Social Worker - Clinical in Portland, OR

Active since July 08, 2020PECOS EnrolledAccepts Medicare Assignment
637 N FARRAGUT ST, PORTLAND, OR 97217(503) 358-5130 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eileen Bradley Summit Lcsw NPPES

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

EILEEN BRADLEY SUMMIT LCSW (NPI 1124646955) is an individual clinical provider in Portland, Oregon, licensed in Oregon (1995) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1124646955
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEILEEN BRADLEY SUMMITCredential: LCSW
Location Address637 N FARRAGUT STPortland, OR 97217-1473
Mailing Address637 N Farragut StPortland, OR 97217-1473 · (503) 358-5130
Phone(503) 358-5130
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 8, 2020
NPPES CertifiedJuly 8, 2020
✔ NPI 1124646955 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 OR · 1995
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.
637 N FARRAGUT ST, Portland, OR 97217
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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

Eileen Bradley Summit 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 ID3779952494
PECOS Enrollment IDI20221219002451
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 97217 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 $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

MARK WALLACE HONEYWELL SUMMIT LCSW
Social Worker (Clinical)
637 N FARRAGUT ST
PORTLAND, OR 97217
Multnomah County (503) 715-6298

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 Eileen Summit's NPI number?

The NPI number for Eileen Summit is 1124646955. It was assigned to this individual provider in the NPPES registry on July 8, 2020.

Where is Eileen Summit located?

Eileen Summit practices at 637 N Farragut St, Portland, OR 97217. The listed phone number is (503) 358-5130.

What is Eileen Summit's specialty?

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

Is Eileen Summit enrolled in Medicare?

Yes. Eileen Summit 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 Eileen Summit accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Eileen Summit 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 Eileen Summit was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.