Individual provider Active NPI

Renee Cummings, LCSW

  • Clinical Social Worker
  • Clermont, FL
National Provider Identifier
1639357189
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17432 Issued in FL
Practice address
PO Box 136142
Clermont, FL 34713-6142
Phone
(860) 457-8558
Fax
(863) 243-6606
NPI assigned
Feb 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 008000 CT
Clinical Social Worker 1041C0700X SW17432 FL Primary

Addresses

Primary practice location

PO Box 136142
Clermont, FL 34713-6142

Mailing address

PO Box 136142
Clermont, FL 34713-6142
Phone (860) 457-8558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW17432FLMDClinical Social Worker
008000CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Parham Counseling Services, LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

70 Cottage St
Danielson, CT 06239
Phone (860) 774-0215

Interoperability endpoints

  • Direct secure messaging: renee.cummings@ctproviderdirect.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1639357189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 136142",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347136142",
            "telephone_number": "860-457-8558",
            "fax_number": "863-243-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 136142",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347136142",
            "telephone_number": "860-457-8558",
            "fax_number": "863-243-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.