Active NPI
Christine Cummings, LCSW
- Clinical Social Worker
- Wheaton, IL
National Provider Identifier
1831731389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.021672
- Practice address
- 2100 Manchester Rd Ste 605
Wheaton, IL 60187-4587 - Phone
- (630) 332-0095
- NPI assigned
- Oct 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.021672 | IL | Primary |
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
2100 Manchester Rd Ste 605
Wheaton, IL 60187-4587
Mailing address
2100 Manchester Rd Ste 605
Wheaton, IL 60187-4587
Phone (708) 267-4188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629759105 | Medicaid | MD |
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 |
|---|---|---|---|
| 149.021672 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| World Relief Corporation of National Association of Evangelicals | Current | Accepting new patients |
Locations
2100 Manchester Rd
Ste 605
Wheaton, IL 60187
Phone (443) 451-1900
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.
-
- Adult Mental Health Clinic/Center
- Wheaton, IL
- NPI 1629759105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1831731389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 MANCHESTER RD STE 605",
"city": "WHEATON",
"state": "IL",
"postal_code": "601874587",
"telephone_number": "708-267-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 MANCHESTER RD STE 605",
"city": "WHEATON",
"state": "IL",
"postal_code": "601874587",
"telephone_number": "630-332-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINGS",
"first_name": "CHRISTINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-16",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.021672",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629759105",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.