Provider Demographics
NPI:1326405069
Name:CUMMINGS, ELIZABETH LEE TRUEMAN (LCSW)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:LEE TRUEMAN
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 S. PAULINA ST
Mailing Address - Street 2:SUITE 423
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612
Mailing Address - Country:US
Mailing Address - Phone:312-942-3987
Mailing Address - Fax:312-563-6548
Practice Address - Street 1:710 S. PAULINA ST
Practice Address - Street 2:SUITE 423
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612
Practice Address - Country:US
Practice Address - Phone:312-942-3987
Practice Address - Fax:312-563-6548
Is Sole Proprietor?:No
Enumeration Date:2016-01-26
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0179501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical