Erica Rae Cuneo, LCSW
Individual provider Active NPI Clinical Social Worker · Archer, FL
NPI 1023536588 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1023536588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW12285 (FL)
- Practice address
- 12421 SW 28TH PL
Archer, FL 32618-2135 - Phone
- (352) 505-3507
- NPI assigned
- Sep 5, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW12285 | FL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW12285 | FL | Yes |
Addresses
Primary practice location
12421 SW 28TH PL
Archer, FL 32618-2135
Mailing address
12421 SW 28TH PL
Archer, FL 32618-2135
Phone (352) 505-3507
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW12285 | Other | FL | LICENSED CLINICAL SOCIAL WORKER |
Other providers in Archer, FL
- Domonique Leshawn Boykin
- Kasey Lin Brandt
- Kimberly Castillo
- Marcela Auxiliadora Cesar
- Lakeshia Cousin
- Brenda Dyal
- Elements of Movement, LLC
- Reathea Felder
- Carol Graham
- Spencer Haire
All providers in Archer, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.