Active NPI
Maureen Reid-Cunningham, LICSW
- Clinical Social Worker
- Cambridge, MA
National Provider Identifier
1023024049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1016269-1
- Practice address
- 10 Harrington Rd
Cambridge, MA 02140-1731 - Phone
- (617) 233-1364
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1016269-1 | MA | Primary |
Addresses
Primary practice location
10 Harrington Rd
Cambridge, MA 02140-1731
Mailing address
10 Harrington Rd
Cambridge, MA 02140-1731
Phone (617) 661-6177
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851811 | Medicaid | MA | |
| P04972 | Other | MA | BCBS OF MA |
| 1892878 | Medicaid | MA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1016269-1 | MA | MD | Clinical Social Worker |
| 1016269 | MA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456963200000",
"number": "1023024049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 HARRINGTON RD",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021401731",
"telephone_number": "617-661-6177",
"fax_number": "617-354-5344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HARRINGTON RD",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021401731",
"telephone_number": "617-233-1364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID-CUNNINGHAM",
"first_name": "MAUREEN",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2016-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1016269-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851811",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MA",
"identifier": "P04972",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1892878",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.