Provider Demographics
NPI:1215543749
Name:BECK, SUMMER (LMSW)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:
Last Name:BECK
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:SUMMER
Other - Middle Name:
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 497
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:AR
Mailing Address - Zip Code:72006-0497
Mailing Address - Country:US
Mailing Address - Phone:870-347-2534
Mailing Address - Fax:
Practice Address - Street 1:178 HIGHWAY 167 N
Practice Address - Street 2:
Practice Address - City:BALD KNOB
Practice Address - State:AR
Practice Address - Zip Code:72010-4058
Practice Address - Country:US
Practice Address - Phone:501-724-6207
Practice Address - Fax:501-724-3305
Is Sole Proprietor?:No
Enumeration Date:2020-09-21
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR11981-M104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker