Provider Demographics
NPI:1023833407
Name:CUMMINGS, CHAD PATRICK (MSW, LICSW)
Entity type:Individual
Prefix:MR
First Name:CHAD
Middle Name:PATRICK
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2114 198TH ST E
Mailing Address - Street 2:
Mailing Address - City:SPANAWAY
Mailing Address - State:WA
Mailing Address - Zip Code:98387-4148
Mailing Address - Country:US
Mailing Address - Phone:253-228-5891
Mailing Address - Fax:
Practice Address - Street 1:2114 198TH ST E
Practice Address - Street 2:
Practice Address - City:SPANAWAY
Practice Address - State:WA
Practice Address - Zip Code:98387-4148
Practice Address - Country:US
Practice Address - Phone:253-228-5891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW612418441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical