Doctor Name: | JENNIFER LYNN CUMMINGS |
NPI Number: | 1154591626 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 7928-123 |
Business Practice Address: | 5900 Monona Dr Water Tower Place Suite 100 Monona, WI - 537163554 |
Business Phone Number: | 6086630763 |
Business Fax Number: | 6086630765 |
Mailing Address: | 825 W Jefferson St, STOUGHTON |
State: | WI |
Postal Code: | 535892312 |
Phone Number: | 8282313339 |
Fax Number: | |
NPI Enumeration Date: | 03/11/2008 |
NPI Last Update Date: | 02/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 7928-123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |