| Laura Sumpter Lcsw | |
|
107 W Courthouse Sq Cumming GA 30040-1610 | |
| (573) 723-2368 | |
| Not Available |
| Full Name | Laura Sumpter Lcsw |
|---|---|
| Speciality | Clinic/Center |
| Location | 107 W Courthouse Sq, Cumming, Georgia |
| Authorized Official Name and Position | Laura Sumpter (THERAPIST) |
| Authorized Official Contact | 5737232368 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Sumpter Lcsw 7190 Wyngate Dr Cumming GA 30040-6604 Ph: (573) 723-2368 | Laura Sumpter Lcsw 107 W Courthouse Sq Cumming GA 30040-1610 Ph: (573) 723-2368 |
| NPI Number | 1437796760 |
|---|---|
| Provider Enumeration Date | 12/05/2019 |
| Last Update Date | 06/23/2021 |
| Certification Date | 06/23/2021 |
| Medicare PECOS PAC ID | 6507251022 |
|---|---|
| Medicare Enrollment ID | O20220321001105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437796760 | NPI | - | NPPES |
| CSW004682 | Other | GA | BCBS, HUMANA, AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Laura Sumpter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396044376 PECOS PAC ID: 5395097810 Enrollment ID: I20181011001373 |
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