Individual provider Active NPI

Cheryl S Cummin, LCSW

  • Clinical Social Worker
  • Guilford, CT
National Provider Identifier
1184818783
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005449 Issued in CT
Practice address
68 Hoadley Creek Cir
Guilford, CT 06437-2343
Phone
(203) 506-2842
NPI assigned
Aug 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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 005449 CT Primary

Addresses

Primary practice location

68 Hoadley Creek Cir
Guilford, CT 06437-2343

Mailing address

68 Hoadley Creek Cir
Guilford, CT 06437-2343
Phone (203) 506-2842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20130701000627 CT Practitioner - Clinical Social Worker 4486894136 Practice locations: Guilford, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005449CTMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1184818783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HOADLEY CREEK CIR",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372343",
            "telephone_number": "203-506-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HOADLEY CREEK CIR",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372343",
            "telephone_number": "203-506-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMIN",
        "first_name": "CHERYL",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

Verify at the official NPI Registry.