Karen Theresa Cummings-Lilly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00940864 Issued in WV

Practice address

784 Hanover Ave
Newbury Park, CA 91320-5426

Phone

(304) 640-5666

NPI assigned

Jan 18, 2007

Last updated

Aug 5, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1985

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Growing Minds Psychological CorporationGroup PAC ID 3870817414, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Growing Minds Psychological Corporation

  • Clinical Psychologist
  • Granada Hills, CA
  • NPI 1588068787
  Medicare reassignment Care Compare group NPD
• A.M.P. Autism Inc

  • Clinical Psychologist
  • Encino, CA
  • NPI 1780140574
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1063564953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 HANOVER AVE",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913205426",
            "telephone_number": "304-640-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 HANOVER AVE",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913205426",
            "telephone_number": "304-640-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS-LILLY",
        "first_name": "KAREN",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00940864",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 13274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossroads in Health
• Robin Cruz-Bradley, M.A.
• Perla Cruz
• Ryann Marie Cruz, NONE
• Nancy Ann Cumins, M.A., C.C.C./SLP
• Dallas Sleep Services LLC
• Laurel B Davis, OTR/L
• Destiny De Alba, PT, DPT
• Jordyn C Defalco
• Amie Deitel, LMFT

• Clinical Social Worker in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.