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KAREN CUMMINGS LICSW
NPI 1639651722
Social Worker - Clinical in Assonet, MA

Active since September 05, 2018PECOS EnrolledAccepts Medicare Assignment
51 MALBONE RD, ASSONET, MA 02702(774) 218-7383 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2026, Oct 8, 2024, Feb 18, 2023 and 2 more (5 updates tracked since 2018).

About Karen Cummings Licsw NPPES

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

KAREN CUMMINGS LICSW (NPI 1639651722) is an individual clinical provider in Assonet, Massachusetts, licensed in Massachusetts (121424) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1639651722
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAREN CUMMINGSCredential: LICSW
Location Address51 MALBONE RDAssonet, MA 02702-1910
Mailing AddressPo Box 816Assonet, MA 02702-0897 · (774) 218-7383
Phone(774) 218-7383
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 5, 2018
Last NPPES UpdateJune 2, 20265 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1639651722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 121424
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.
51 MALBONE RD, Assonet, MA 02702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen Cummings Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436584794
PECOS Enrollment IDI20200114001531
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 02702 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 $58.86 – $177.36
Typical copayment $0.00 (range $14.71 – $44.34)
Most-billed visit code NA
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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's NPI number?

The NPI number for Karen Cummings is 1639651722. It was assigned to this individual provider in the NPPES registry on September 5, 2018.

Where is Karen Cummings located?

Karen Cummings practices at 51 Malbone Rd, Assonet, MA 02702. The listed phone number is (774) 218-7383.

What is Karen Cummings's specialty?

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

Is Karen Cummings enrolled in Medicare?

Yes. Karen Cummings is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karen Cummings accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Karen Cummings 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 Karen Cummings was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.