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MS. KAREN THERESA CUMMINGS-LILLY LCSW
NPI 1063564953
Social Worker - Clinical in Newbury Park, CA

Active since January 18, 2007PECOS Enrolled
784 HANOVER AVE, NEWBURY PARK, CA 91320(304) 640-5666 Get Directions Write a Review

NPPES record last updated: August 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Karen Theresa Cummings-lilly Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KAREN THERESA CUMMINGS-LILLY LCSW (NPI 1063564953) is an individual clinical provider in Newbury Park, California, licensed in West Virginia (DP00940864) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1063564953
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KAREN THERESA CUMMINGS-LILLYCredential: LCSW
Location Address784 HANOVER AVENewbury Park, CA 91320-5426
Mailing Address784 Hanover AveNewbury Park, CA 91320-5426 · (304) 640-5666
Phone(304) 640-5666
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateJanuary 18, 2007
Last NPPES UpdateAugust 5, 2014
✔ NPI 1063564953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WV · DP00940864✔ Licensed in CA · LCS 13274
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
784 HANOVER AVE, Newbury Park, CA 91320
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Karen Theresa Cummings-lilly Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901025907
PECOS Enrollment IDI20140923002015
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91320 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.32 – $185.36
Typical copayment $0.00 (range $15.58 – $46.34)
Most-billed visit code NA
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Cummings-lilly's NPI number?

The NPI number for Karen Cummings-lilly is 1063564953. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Karen Cummings-lilly located?

Karen Cummings-lilly practices at 784 Hanover Ave, Newbury Park, CA 91320. The listed phone number is (304) 640-5666.

What is Karen Cummings-lilly's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Karen Cummings-lilly enrolled in Medicare?

Yes. Karen Cummings-lilly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Karen Cummings-lilly was last updated on August 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.