Sumner, Alisa Brooke

Sumner, Alisa Brooke is an sole proprietor health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Sumner, Alisa Brooke can be contacted via phone (270) 412-3247.

Contact Information

Primary practice address
650 Joel Dr Fort Campbell KY 42223-5318
Phone: (270) 412-3247
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5195 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3547 Kentucky
Behavioral Health & Social Service Providers / School 1041S0200X
Behavioral Health & Social Service Providers / Social Worker 104100000X 3547 Kentucky

Profile Details

NPI number 1295926186
LBN Legal business name Sumner, Alisa Brooke
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2007
Last updated Sep 11th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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