Healthcare Provider Details

I. General information

NPI: 1386630275
Provider Name (Legal Business Name): JEFFREY S CUMMINS LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 WYOMING AVE
BILLINGS MT
59101-1743
US

IV. Provider business mailing address

3538 LYNN AVE
BILLINGS MT
59102-4340
US

V. Phone/Fax

Practice location:
  • Phone: 406-259-8633
  • Fax: 406-254-0091
Mailing address:
  • Phone: 406-652-2158
  • Fax: 406-652-2158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number700LCSW
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS 19449
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: