MEDICARE: MARTHA CARROLL CUMMINS-BELL LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	M-08114	NM
2	1041C0700X	Clinical Social Worker	M-08114	NM

General Provider Information

NPI Number	:	1912241613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA CARROLL CUMMINS-BELL LMSW

Provider Business Mailing Address
First Line	:	2001 DOROTHY ST NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87112-3223
Country	:	US
Telephone Number	:	505-688-3612
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 DOROTHY ST NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87112-3223
Country	:	US
Telephone Number	:	505-688-3612
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2012
Last Update Date	:	06/15/2026

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