Look up the most recent NPI and PECOS records

Summit Clinical Associates Llc

Social Worker

Behavioral Health & Social Service Providers

126 Locust Ln, Media, PA 19063-1711

PECOS Enrollment

Based on the most recent information from CMS, provider Summit Clinical Associates Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1528765625
Provider Type
Organization
Full Name
Summit Clinical Associates Llc

Subpart
No
Enumeration Date
2/9/2023
Last Updated
2/9/2023

Contact Information

Practice Location

126 Locust Ln, Media, PA 19063-1711

(484) 274-8957

Unlisted Fax

Mailing Location

126 Locust Ln, Media, PA 19063-1711

Unlisted Phone

Unlisted Fax

Authorized Official

Vacha, Kristina (Owner)

(484) 274-8957

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer

Summit Clinical Associates Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Bernardi, Kimberly Lynn

Lafleur-Vetter, Hazel

Pearsall, Bonita M

Morein, Barrry Alan

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Dombor, Julie Berg

Fahnoe, Erin Costello

Haldeman, Wendi

Greenberg, Robin Moss

Gill, Stacey Marie