Individual provider Active NPI

Kathleen Mary Cunningham, MSW

  • Clinical Social Worker
  • St Thomas, VI
National Provider Identifier
1104198985
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1-003612-2011 Issued in VI
Practice address
9151 Estate Thomas
Suite 204
St Thomas, VI 00802-2617
Phone
(340) 774-2228
Fax
(340) 714-2258
NPI assigned
Feb 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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 1-003612-2011 VI Primary

Addresses

Primary practice location

9151 Estate Thomas
Suite 204
St Thomas, VI 00802-2617

Mailing address

9151 Estate Thomas
Suite 204
St Thomas, VI 00802-2617
Phone (340) 774-2228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
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
I20240909000076 VI Practitioner - Clinical Social Worker 7113466269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Insight Psychological Services LLCGroup PAC ID 7416331707, 7 clinicians

Practice addresses (Care Compare)

9151 Estate Thomas
Suite 204
St Thomas, VI 00802-2716
Phone (340) 774-2228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-003612-2011VIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Psychological Services, LLC CurrentSince May 26, 2024 Accepting new patients
Insight Outreach, Inc CurrentSince May 26, 2024 Accepting new patients

Locations

9151 Estate Thomas
Ste 204
St Thomas, VI 00802
Phone (340) 774-2228

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": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1104198985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9151 ESTATE THOMAS",
            "address_2": "SUITE 204",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022617",
            "telephone_number": "340-774-2228",
            "fax_number": "340-714-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9151 ESTATE THOMAS",
            "address_2": "SUITE 204",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022617",
            "telephone_number": "340-774-2228",
            "fax_number": "340-714-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VI",
            "license": "1-003612-2011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

Verify at the official NPI Registry.