Individual provider Active NPI

Jennifer Lynn Cummings, LCSW

  • Clinical Social Worker
  • Monona, WI
National Provider Identifier
1154591626
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7928-123 Issued in WI
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0005525880001MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140416000603 WI Practitioner - Clinical Social Worker 7719119205 Reassigns benefits to 3 organizations

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
Community Service Associates, SCGroup PAC ID 8426948746, 34 clinicians

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

LicenseStateTypeSpecialty
7928-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Center for Change LLC CurrentSince May 1, 2020 Accepting new patients
Anchor and Wave Wellness LLC Clinical CurrentSince May 17, 2025 Accepting new patients
Community Service Associates, SC CurrentSince Feb 1, 2024 Accepting new patients
Samaritan Counseling Center PastSince Mar 11, 2014 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.

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

Sources for this page

Verify at the official NPI Registry.