Provider Demographics
NPI:1639357189
Name:CUMMINGS, RENEE (LCSW)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
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:PO BOX 136142
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34713-6142
Mailing Address - Country:US
Mailing Address - Phone:860-457-8558
Mailing Address - Fax:863-243-6606
Practice Address - Street 1:PO BOX 136142
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34713-6142
Practice Address - Country:US
Practice Address - Phone:860-457-8558
Practice Address - Fax:863-243-6606
Is Sole Proprietor?:No
Enumeration Date:2008-02-07
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0080001041C0700X
FLSW174321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical