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JULIE CUMMINS LCSW
NPI 1316974892
Social Worker - Clinical in Portland, TN

Active since June 28, 2006Opted out of Medicare · through Jan 1, 2027
458 N. BROADWAY, SUITE B, PORTLAND, TN 37148(615) 323-0573(615) 323-0574 Get Directions Write a Review

NPPES record last updated: December 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Julie Cummins Lcsw NPPES

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

JULIE CUMMINS LCSW (NPI 1316974892) is an individual clinical provider in Portland, Tennessee, licensed in Tennessee (3534) and active in the NPI registry since June 2006. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1316974892
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJULIE CUMMINSCredential: LCSW
Location Address458 N. BROADWAY, SUITE BPortland, TN 37148-1767
Mailing Address458 N. Broadway, Suite BPortland, TN 37148-1767 · (615) 323-0573 · Fax (615) 323-0574
Phone(615) 323-0573
Fax(615) 323-0574
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateDecember 18, 2013
✔ NPI 1316974892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TN · 3534
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 3534 (TN)
458 N. BROADWAY, Portland, TN 37148
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Julie Cummins Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37148 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 $52.64 – $160.89
Typical copayment $0.00 (range $13.16 – $40.22)
Most-billed visit code NA
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 Julie Cummins's NPI number?

The NPI number for Julie Cummins is 1316974892. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Julie Cummins located?

Julie Cummins practices at 458 N. Broadway Suite B, Portland, TN 37148. The listed phone number is (615) 323-0573.

What is Julie Cummins's specialty?

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

Is Julie Cummins enrolled in Medicare?

No. Julie Cummins has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Julie Cummins accept?

Health plans from BlueCross BlueShield of Tennessee list Julie Cummins as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Julie Cummins was last updated on December 18, 2013. 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.