Organization Active NPI

Brandy Cunningham

Doing business as Brandy Cunningham LCSW LLC

  • Clinical Social Worker
  • Fort Smith, AR
National Provider Identifier
1023719846
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BRANDY CUNNINGHAM
Doing business as
Brandy Cunningham LCSW LLC
Practice address
4943 Old Greenwood Rd Ste 7
Fort Smith, AR 72903-6923
Phone
(479) 459-4230
NPI assigned
Mar 17, 2023
Last updated
Feb 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Brandy Cunningham, LCSWNPI 1659431187
Title
Owner
Phone
(479) 459-4230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

4943 Old Greenwood Rd Ste 7
Fort Smith, AR 72903-6923

Mailing address

PO Box 824
Fort Smith, AR 72902-0824
Phone (479) 459-4230

Other identifiers 1

IdentifierTypeStateIssuer
1659431187OtherARNPI

Other names 1

  • Brandy Cunningham LCSW LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3101 Free Ferry Rd
Ste G
Fort Smith, AR 72903

4943 Old Greenwood Rd
Ste 7
Fort Smith, AR 72903
Phone (479) 438-3636

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1023719846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729020824",
            "telephone_number": "479-459-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4943 OLD GREENWOOD RD STE 7",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036923",
            "telephone_number": "479-459-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDY CUNNINGHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-459-4230",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659431187",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandy Cunningham LCSW LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.