Active NPI
Jennifer Lynn Cummings, LCSW
- Clinical Social Worker
- Monona, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7928-123
- Practice address
- 5900 Monona Dr
Water Tower Place Suite 100
Monona, WI 53716-3554 - Phone
- (608) 663-0763
- Fax
- (608) 663-0765
- NPI assigned
- Mar 11, 2008
- Last updated
- Feb 27, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7928-123 | WI | Primary |
Addresses
Primary practice location
5900 Monona Dr
Water Tower Place Suite 100
Monona, WI 53716-3554
Mailing address
825 W Jefferson St
Stoughton, WI 53589-2312
Phone (828) 231-3339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005525880001 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Monona, WI 53716
Phone (828) 231-3339
2702 International LN
Madison, WI 53704-3117
Phone (608) 742-5518
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7928-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Door Center for Change LLC | Current | Accepting new patients | |
| Anchor and Wave Wellness LLC | Clinical | Current | Accepting new patients |
| Community Service Associates, SC | Current | Accepting new patients | |
| Samaritan Counseling Center | Past | Accepting new patients |
Locations
6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100
2702 International Ln
Madison, WI 53704
Phone (608) 405-5712
2702 International Ln
Ste 102
Madison, WI 53704
Phone (608) 280-2636
2820 Walton Commons Ln
Ste 128
Madison, WI 53718
Phone (608) 827-7220
6502 Grand Teton Plz
Ste 102
Madison, WI 53719
Phone (608) 827-7220
6320 Monona Dr
Ste 315
Monona, WI 53716
Phone (828) 231-3339
2901 Hunters Trl
Portage, WI 53901
Phone (608) 742-5518
Organizations & group practices 4
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.
-
- Clinical Social Worker
- Monona, WI
- NPI 1316738008
-
dba Pauquette Center for Psychological Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portage, WI
- NPI 1780610923
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1215068069
-
- Adult Mental Health Clinic/Center
- Monona, WI
- NPI 1205077427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393459200000",
"number": "1154591626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 W JEFFERSON ST",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "535892312",
"telephone_number": "828-231-3339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 MONONA DR",
"address_2": "WATER TOWER PLACE SUITE 100",
"city": "MONONA",
"state": "WI",
"postal_code": "537163554",
"telephone_number": "608-663-0763",
"fax_number": "608-663-0765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINGS",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-11",
"last_updated": "2014-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7928-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005525880001",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monona, WI
- Carolyn Lacy Cook, MA, LPC
- Susan Cooper
- Thea Sue Cornwell, MA, CCC-SLP
- County of Dane Monona Grove School District (Monona Grove School District)
- Christina Marie Craven
- Anthony J Curcio, DC
- Molly Patricia Dillon Czech, MSW, APSW, LCSW
- Dane County Cytology Center, Inc
- Dane County Family Acupuncture
- Rosa Daneshvar
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.