Individual provider

Karen Cummings-lilly, LCSW

Clinical Social Worker Medicare enrolled

Karen Cummings-lilly, LCSW is a provider specialising in Clinical Social Worker in Newbury Park, CA, registered under NPI 1063564953. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 784 HANOVER AVE, Newbury Park, CA 91320. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

784 HANOVER AVE, Newbury Park, CA 91320 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
DP00940864 WV Clinical Social Worker primary
LCS 13274 CA Clinical Social Worker

Licences are recorded in 2 states: WV, CA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Clinical Social Worker
PAC ID
6901025907
Enrollment ID
I20140923002015

Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Social Worker. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: California and West Virginia. The practice address on file is in Newbury Park, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California practice address
Licence
LCS 13274
Specialty
Clinical Social Worker
Verify with the CA board →
WV West Virginia
Licence
DP00940864
Specialty
Clinical Social Worker
Verify with the WV board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Clinical covers

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. NUCC Health Care Provider Taxonomy, code 1041C0700X
Behavioral Health & Social Service Providers Social Worker Clinical

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1041C0700X Clinical Social Worker Clinical DP00940864 WV primary
1041C0700X Clinical Social Worker Clinical LCS 13274 CA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063564953 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 18, 2007
Last updatedAug 5, 2014
StatusActive
Sole proprietorYes
CredentialLCSW
Practice address 784 HANOVER AVE
Newbury Park, CA 91320
(304) 640-5666
This record was last updated on Aug 5, 2014, roughly 12 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1063564953 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 5 6 4 9 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 1 6 8 9 1

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063564953?
NPI 1063564953 is the National Provider Identifier assigned to Karen Cummings-lilly, LCSW in Newbury Park, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
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…
How do I contact Karen Cummings-lilly, LCSW?
The phone number on file with NPPES is (304) 640-5666, last updated Aug 5, 2014. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Karen Cummings-lilly, LCSW accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063564953 a valid number?
Yes. 1063564953 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.