Provider Demographics
NPI:1538784608
Name:CUMMINGS, ANNE THERESE (LCSW)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:THERESE
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 1:2002 KEYSTONE DR APT A
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-8000
Mailing Address - Country:US
Mailing Address - Phone:561-519-1772
Mailing Address - Fax:
Practice Address - Street 1:2002 KEYSTONE DR APT A
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-8000
Practice Address - Country:US
Practice Address - Phone:561-519-1772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-14
Last Update Date:2020-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW148681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical