Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 11872 | NY |
Y | 1041C0700X | Clinical Social Worker | R-643621 | NY |
NPI | 1003055369 |
---|---|
Provider Name | Linda Cummings |
First Address | New York, NY 10003-3241 |
Second Address | New York, NY 10003-3241 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2009 |
Last Update Date | 10/02/2009 |