Mattie Cummins, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LMSW-11859 Issued in AZ

Practice address

2633 E Indian School Rd Ste 310
Phoenix, AZ 85016-6762

Phone

(480) 861-8158

NPI assigned

Jun 6, 2017

Last updated

Jun 6, 2017By the provider in NPPES

Sex

Female

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": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1811426539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7006 E JENSEN ST UNIT 122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852072837",
            "telephone_number": "480-861-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 E INDIAN SCHOOL RD STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166762",
            "telephone_number": "480-861-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINS",
        "first_name": "MATTIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LMSW-11859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judd Edward Cummings, M.D.
• Kaitlyn Kay Cummings, FNP
• Miriam Paulette Cummings, MD
• Rebecca J Cummings, SLPA
• Emy Lynn Cummins, NMD
• Thomas Enman Cummins
• Jameson Cumsky
• Kendra Nichole Cunegin, O.D.
• Jodi Ralyn Cuneo, PH.D.
• Catherine Marie Cunningham

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.