# JEFFREY S CUMMINS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1386630275
- **Gender:** Man
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 700LCSW | MT | — |
| 1041C0700X | Clinical Social Worker | LCS 19449 | CA | Yes |

## Other

- **Enumeration date:** 09/26/2005
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0503914 | — | MT |
| 01 | — | 71345 | BLUE CROSS BLUE SHIELD | MT |
