Provider Demographics
NPI:1912241613
Name:CUMMINS-BELL, MARTHA CARROLL (LMSW)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:CARROLL
Last Name:CUMMINS-BELL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 DOROTHY ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-3223
Mailing Address - Country:US
Mailing Address - Phone:505-688-3612
Mailing Address - Fax:
Practice Address - Street 1:2001 DOROTHY ST NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-3223
Practice Address - Country:US
Practice Address - Phone:505-688-3612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-19
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMM-081141041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical