Individual provider Active NPI

Cathy Jeanne Cumler-Dennis, LCSW

  • Clinical Social Worker
  • Hallowell, ME
National Provider Identifier
1861408700
Registry record updated May 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC4763 Issued in ME
Practice address
6 Stoddard LN
Hallowell, ME 04347
Phone
(207) 620-7197
Fax
(207) 620-7198
NPI assigned
Jul 31, 2006
Last updated
May 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC4763 ME Primary

Addresses

Primary practice location

6 Stoddard LN
Hallowell, ME 04347

Mailing address

6 Stoddard LN
Hallowell, ME 04347
Phone (207) 620-7197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050623000252 ME Practitioner - Clinical Social Worker 3577508209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Behavioral Healthcare LLCGroup PAC ID 7214097740, 29 clinicians

Practice addresses (Care Compare)

157 Park St
Bangor, ME 04401-5000

157 Park St
Suite 5And3
Bangor, ME 04401-5093
Phone (207) 992-0410

32 College Ave
Waterville, ME 04901-6100
Phone (207) 680-2065

6 Stoddard LN
Hallowell, ME 04347-1429
Phone (207) 620-7197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CC Dennis Counseling Services CurrentSince Jan 1, 2008 Accepting new patients
Cornerstone Behavioral Healthcare, LLC CurrentSince Jan 1, 2015 Accepting new patients

Locations

157 Park St
Ste 5
Bangor, ME 04401
Phone (207) 992-0410

52 Water St
Hallowell, ME 04347
Phone (207) 620-7196

222 Saint John St
Ste 113
Portland, ME 04102
Phone (207) 772-2440

32 College Ave
Ste 206
Waterville, ME 04901
Phone (207) 680-2065

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589673600000",
    "number": "1861408700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 STODDARD LN",
            "city": "HALLOWELL",
            "state": "ME",
            "postal_code": "04347",
            "telephone_number": "207-620-7197",
            "fax_number": "207-620-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 STODDARD LN",
            "city": "HALLOWELL",
            "state": "ME",
            "postal_code": "04347",
            "telephone_number": "207-620-7197",
            "fax_number": "207-620-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMLER-DENNIS",
        "first_name": "CATHY",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-05-17",
        "certification_date": "2020-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC4763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallowell, ME

Sources for this page

Verify at the official NPI Registry.