Active NPI
Cynthia Ellen Cummons, MSW, LISW-S
- Clinical Social Worker
- Newark, OH
National Provider Identifier
1285903757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I004692
- Practice address
- 2112 Cherry Valley Rd
Newark, OH 43055-1387 - Phone
- (740) 644-8704
- Fax
- (740) 522-0032
- NPI assigned
- Dec 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | I004692 | OH | Primary |
Addresses
Primary practice location
2112 Cherry Valley Rd
Newark, OH 43055-1387
Mailing address
PO Box 769
Newark, OH 43058-0769
Phone (740) 644-8704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120508000742 | OH | Practitioner - Clinical Social Worker | 6002078052 | Practice locations: Heath, OH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I004692 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1285903757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 769",
"city": "NEWARK",
"state": "OH",
"postal_code": "430580769",
"telephone_number": "740-644-8704",
"fax_number": "740-522-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 CHERRY VALLEY RD",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551387",
"telephone_number": "740-644-8704",
"fax_number": "740-522-0032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMONS",
"first_name": "CYNTHIA",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "MSW, LISW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-29",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I004692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.