Provider Demographics
NPI:1083686588
Name:CUMMINGS, CANDICE K (LCSW, ISW)
Entity Type:Individual
Prefix:
First Name:CANDICE
Middle Name:K
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:LCSW, ISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 86370
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57118-6370
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:4400 W 69TH ST
Practice Address - Street 2:STE 1500
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8170
Practice Address - Country:US
Practice Address - Phone:605-322-5700
Practice Address - Fax:605-322-5704
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1206101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND12200Medicaid
SD67985OtherARAZ/ AMERICA'S PPO
MN141M6CUOtherCC SYSTEMS/ BLUE PLUS
SD16329OtherMIDLANDS CHOICE
SD0040493OtherBLUE CROSS
SD6570173Medicaid
MN040121002OtherPRIMEWEST
SD412991028075OtherPREFERRED ONE
SD800013299OtherRR MEDICARE
SD9205348OtherDAKOTACARE
SDHP24854OtherHEALTHPARTNERS
IA1983361Medicaid
MN328017900Medicaid
SD33887OtherSANFORD HEALTH PLAN
SD57108C023OtherWPS TRICARE
SD370624200OtherDEPT OF LABOR
SD6570173Medicaid
SDS40493Medicare PIN