Provider Demographics
NPI:1346305745
Name:CUMMINGS, THOMAS ANDREW (MSW)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:ANDREW
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:MR
Other - First Name:CHUCK
Other - Middle Name:NONE
Other - Last Name:CUMMINGS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:41 SCOTT LN
Mailing Address - Street 2:NONE
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-2440
Mailing Address - Country:US
Mailing Address - Phone:860-687-1105
Mailing Address - Fax:860-687-1105
Practice Address - Street 1:41 SCOTT LN
Practice Address - Street 2:NONE
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-2440
Practice Address - Country:US
Practice Address - Phone:860-687-1105
Practice Address - Fax:860-687-1105
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health