Provider Demographics
NPI:1780815571
Name:CUMMINS, BLANCHE CHRISTINA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BLANCHE
Middle Name:CHRISTINA
Last Name:CUMMINS
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 1627
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40423-1627
Mailing Address - Country:US
Mailing Address - Phone:859-238-2200
Mailing Address - Fax:859-238-2271
Practice Address - Street 1:326 W MAIN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-1822
Practice Address - Country:US
Practice Address - Phone:859-238-2200
Practice Address - Fax:859-238-2271
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY14521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical