Provider Demographics
NPI:1083030647
Name:CUMING, AMY
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:CUMING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 ROCKVILLE PIKE STE 145
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5136
Mailing Address - Country:US
Mailing Address - Phone:240-777-3057
Mailing Address - Fax:240-777-4806
Practice Address - Street 1:255 ROCKVILLE PIKE STE 145
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-5136
Practice Address - Country:US
Practice Address - Phone:240-777-3057
Practice Address - Fax:240-777-4806
Is Sole Proprietor?:No
Enumeration Date:2014-03-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD165001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical