MS. NICOLE SUMIDA LCSW NPI 1417932500

NPI Information

  • NPI: 1417932500
  • Provider Name: MS. NICOLE SUMIDA, LCSW
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 2525 S MICHIGAN AVE
    B-390
    CHICAGO, IL
    ZIP 60616
  • Phone: (312) 567-6691

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NPI Details

MS. Nicole Sumida, LCSW is a clinical social worker in Chicago, IL. The provider is 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. MS. Nicole Sumida, LCSW NPI is 1417932500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2525 S MICHIGAN AVE
B-390
CHICAGO, IL
ZIP 60616-333
Phone: (312) 567-6691
Fax: (312) 328-7895

The enumeration date for this NPI number is 12/12/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P89160MEDICARE UPINILLINOIS
201621679OTHERILLINOISBCBS OF IL
3205796MEDICARE ID-TYPE UNSPECIFIEDILLINOISGROUP 950150

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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