Healthcare Provider Details

I. General information

NPI: 1376473322
Provider Name (Legal Business Name): CYNTHIA PAIGE CUMMING LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4287 W PASADENA AVE
FLINT MI
48504-2342
US

IV. Provider business mailing address

8247 HIDDEN HOLW
FENTON MI
48430-4406
US

V. Phone/Fax

Practice location:
  • Phone: 810-733-3820
  • Fax:
Mailing address:
  • Phone: 248-464-1106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851115117
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: