Provider Demographics
NPI:1003055369
Name:CUMMINGS, LINDA (LCSWR; CASAC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:LCSWR; CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 UNION SQ E STE 805
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3241
Mailing Address - Country:US
Mailing Address - Phone:212-388-1274
Mailing Address - Fax:
Practice Address - Street 1:32 UNION SQ E STE 805
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3241
Practice Address - Country:US
Practice Address - Phone:212-388-1274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY11872101YA0400X
NYR-6436211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)