Individual provider Active NPI

Winifred H Cunningham, MSW, LSW, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Paramus, NJ
National Provider Identifier
1033785043
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00330100 Issued in NJ
Practice address
6 Forest Ave
Paramus, NJ 07652-5241
Phone
(201) 880-7530
Fax
(201) 880-7529
NPI assigned
Jun 1, 2021
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SWGTL2001945 NJ
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00330100 NJ Primary

Addresses

Primary practice location

6 Forest Ave
Paramus, NJ 07652-5241

Mailing address

111B Glenwood Ave
Elmwood Park, NJ 07407-1734
Phone (973) 980-1137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250203000948 NJ Practitioner - Mental Health Counselor 0941739114 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00330100NJMDAddiction (Substance Use Disorder) Counselor
SWGTL2001945NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serv Centers of New Jersey, Inc CurrentSince Dec 28, 2024 Accepting new patients
Serv Centers of New Jersey, Inc CurrentSince Dec 28, 2024 Accepting new patients

Locations

777 Bloomfield Ave
Clifton, NJ 07012
Phone (973) 594-0125

777 Bloomfield Ave
Ste B
Clifton, NJ 07012
Phone (973) 594-0125

20 Scotch Rd
Ewing, NJ 08628
Phone (609) 403-6359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1033785043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111B GLENWOOD AVE",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071734",
            "telephone_number": "973-980-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FOREST AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525241",
            "telephone_number": "201-880-7530",
            "fax_number": "201-880-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "WINIFRED",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "MSW, LSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "SWGTL2001945",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00330100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.