Terry Michael Cummings, LICENSED CLINICAL SO

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW14741 Issued in CA

Practice address

71-777 San Jacinto Drive
Suite 204
Rancho Mirage, CA 92270

Phone

(760) 285-5043

Fax

(760) 345-7423

NPI assigned

Jul 26, 2006

Last updated

Nov 7, 2017By 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 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1295759272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71-777 SAN JACINTO DRIVE",
            "address_2": "SUITE 204",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-285-5043",
            "fax_number": "760-345-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71-777 SAN JACINTO DRIVE",
            "address_2": "SUITE 204",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-285-5043",
            "fax_number": "760-345-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "TERRY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LICENSED CLINICAL SO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 14741",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW14741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Cross
• Jackson Thomas Crough, D.P.M.
• Coulter Timothy Crowley, D.D.S.
• Gisel Sarahi Cruz
• Michelle Kathlyne Cuevas, DNP, FNP-C
• Noel Curry, M.D.
• Joan Dabu, M.D.
• Dagostino Chiropractic Center Inc (Rancho Mirage Chiropractic)
• Chris Michael Dagostino, D.C.
• Karina K Dargan

• Clinical Social Worker in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.