Provider Demographics
NPI:1932201084
Name:CUMMINGS, RICH (MSW LSW)
Entity Type:Individual
Prefix:
First Name:RICH
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:MSW LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 SHADY AVE STE D106B
Mailing Address - Street 2:THE KENMAWR
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-4409
Mailing Address - Country:US
Mailing Address - Phone:412-731-4299
Mailing Address - Fax:
Practice Address - Street 1:401 SHADY AVE STE D106B
Practice Address - Street 2:THE KENMAWR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-4409
Practice Address - Country:US
Practice Address - Phone:412-731-4299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW010834L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA155857OtherVALUE OPTIONS
PA976371OtherBLUE CROSS