Cameron Russell Cudney

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801086130 Issued in MI

Practice address

460 W Crooked Lake Dr
Kalamazoo, MI 49009-8930

Phone

(269) 370-2850

NPI assigned

May 3, 2021

Last updated

May 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1235712787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 HILLSHIRE DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082247",
            "telephone_number": "269-370-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W CROOKED LAKE DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098930",
            "telephone_number": "269-370-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDNEY",
        "first_name": "CAMERON",
        "middle_name": "RUSSELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa B Crumpton, AUD
• Kaitlin Cruthers
• Cierra Cruz
• Neva'Eh Cruz
• Shannon Cuddahee, RN
• Sarah Cuffe
• Steven Culver, MS LLP
• Amber Cummings
• Hannah Jeanne Cummings, LMSW, LCSW
• Tyler Douglas Cummings, PA-C

• Clinical Social Worker in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.