Provider Demographics
NPI:1023085651
Name:CUMMINGS, MERCIA F (LCPC, LPC)
Entity type:Individual
Prefix:MRS
First Name:MERCIA
Middle Name:F
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:LCPC, LPC
Other - Prefix:MRS
Other - First Name:MERCIA
Other - Middle Name:F
Other - Last Name:PLATER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC, LPC
Mailing Address - Street 1:P.O. BOX 820
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695
Mailing Address - Country:US
Mailing Address - Phone:301-758-5992
Mailing Address - Fax:301-203-0522
Practice Address - Street 1:603 POST OFFICE ROAD
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602
Practice Address - Country:US
Practice Address - Phone:301-758-5992
Practice Address - Fax:301-203-0522
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MDLC2055101YP2500X
DCPRC13915101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD521450500Medicaid
MD521450501Medicaid
G01516Medicare ID - Type Unspecified
MD521450500Medicaid