Provider Demographics
NPI:1164874871
Name:CUMMINGS, CATHERINE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:KATHRYN
Other - Middle Name:B
Other - Last Name:CUMMINGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:41 NORTH FULLERTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-3495
Mailing Address - Country:US
Mailing Address - Phone:862-202-7427
Mailing Address - Fax:
Practice Address - Street 1:41 NORTH FULLERTON AVENUE
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-3495
Practice Address - Country:US
Practice Address - Phone:862-202-7427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC012754001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical