Provider Demographics
NPI:1639471063
Name:TRADER, SUMMER BLEYER (LCSW)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:BLEYER
Last Name:TRADER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SUMMER
Other - Middle Name:CAROL
Other - Last Name:BLEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:239 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PRESTON
Mailing Address - State:MD
Mailing Address - Zip Code:21655-2215
Mailing Address - Country:US
Mailing Address - Phone:410-443-8423
Mailing Address - Fax:
Practice Address - Street 1:239 MAIN ST
Practice Address - Street 2:
Practice Address - City:PRESTON
Practice Address - State:MD
Practice Address - Zip Code:21655-2215
Practice Address - Country:US
Practice Address - Phone:410-443-8423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-17
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16534104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker