Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sumitra Dorner

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962692798

Sumitra Dorner is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2001, 25 years ago. Practices with Crown Medical Support Services Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
25
Licensed in
MN
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

2616 Nicollet Ave
Minneapolis, MN 55408-1628
Phone: (612) 871-7878
Fax: (612) 871-2567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 16073 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962692798
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 27, 2007
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022
Mailing address2616 Nicollet Ave, Minneapolis, MN 55408-1628

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Crown Medical Support Services Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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