Individual provider Active NPI

Darlene Cunningham, CSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1003254749
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2360 Issued in LA
Practice address
4939 Jamestown Ave
Suite 101
Baton Rouge, LA 70808-3229
Phone
(225) 302-0500
NPI assigned
Jun 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2360 LA Primary

Addresses

Primary practice location

4939 Jamestown Ave
Suite 101
Baton Rouge, LA 70808-3229

Mailing address

4939 Jamestown Ave
Suite 101
Baton Rouge, LA 70808-3229
Phone (225) 302-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2360LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grief Recovery Center Clinical Past Accepting new patients
Grief Recovery Center Clinical PastSince Jan 29, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1003254749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4939 JAMESTOWN AVE",
            "address_2": "SUITE 101",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083229",
            "telephone_number": "225-302-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4939 JAMESTOWN AVE",
            "address_2": "SUITE 101",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083229",
            "telephone_number": "225-302-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "DARLENE",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "2360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.