KAREN MARIE SUMPTER LMSW, ACSW, BCD
NPI 1811013303
Social Worker - Clinical in Southfield, MI

Active since March 22, 2007PECOS EnrolledAccepts Medicare Assignment
15700 PROVIDENCE DRIVE, SUITE 1005, SOUTHFIELD, MI 48075(313) 268-2073(313) 748-7405 Get Directions Write a Review

NPPES record last updated: October 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karen Marie Sumpter Lmsw, Acsw, Bcd NPPES

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

KAREN MARIE SUMPTER LMSW, ACSW, BCD (NPI 1811013303) is an individual clinical provider in Southfield, Michigan, licensed in Michigan (6801020812) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1811013303
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAREN MARIE SUMPTERCredential: LMSW, ACSW, BCD
Location Address15700 PROVIDENCE DRIVE, SUITE 1005Southfield, MI 48075
Mailing Address15700 Providence Dr., 1005Southfield, MI 48075 · (313) 268-2073
Fax(313) 748-7405
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateMarch 22, 2007
Last NPPES UpdateOctober 17, 2020
NPPES CertifiedOctober 17, 2020
NPI 1811013303 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 MI · 6801020812
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.

15700 PROVIDENCE DRIVE, Southfield, MI 48075

Accepted 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 Marie Sumpter Lmsw, Acsw, Bcd 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 ID5890040554
PECOS Enrollment IDI20180620002192
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 48075 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 $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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 Sumpter's NPI number?

The NPI number for Karen Sumpter is 1811013303. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Karen Sumpter located?

Karen Sumpter practices at 15700 Providence Drive Suite 1005, Southfield, MI 48075. The listed phone number is (313) 268-2073.

What is Karen Sumpter's specialty?

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

Is Karen Sumpter enrolled in Medicare?

Yes. Karen Sumpter 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 Sumpter accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and UnitedHealthcare list Karen Sumpter 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 Sumpter was last updated on October 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.