Active NPI
Brian Cummings, LCSW
- Clinical Social Worker
- Roseville, CA
National Provider Identifier
1710193586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 12616
- Practice address
- 1899 East Roseville Parkway
Suite 100
Roseville, CA 95661 - Phone
- (916) 786-3608
- Fax
- (916) 962-1267
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- No
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 | LCS 12616 | CA | Primary |
Addresses
Primary practice location
1899 East Roseville Parkway
Suite 100
Roseville, CA 95661
Mailing address
1899 East Roseville Parkway
Suite 100
Roseville, CA 95661
Phone (916) 786-3608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 12616 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1710193586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1899 EAST ROSEVILLE PARKWAY",
"address_2": "SUITE 100",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "95661",
"telephone_number": "916-786-3608",
"fax_number": "916-962-1267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1899 EAST ROSEVILLE PARKWAY",
"address_2": "SUITE 100",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "95661",
"telephone_number": "916-786-3608",
"fax_number": "916-962-1267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINGS",
"first_name": "BRIAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 12616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.