Rebecca A Cunningham, LCSW
Individual provider Active NPI Clinical Social Worker · Quantico, VA
NPI 1124514161 · NPPES record last updated Apr 8, 2025
Key facts
- NPI
- 1124514161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904009859 (VA)
- Practice address
- 3259 Catlin Ave
Quantico, VA 22134-5109 - Phone
- (703) 784-1779
- NPI assigned
- Jul 2, 2018
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904009859 | VA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904009859 | VA | Yes |
Addresses
Primary practice location
3259 Catlin Ave
Quantico, VA 22134-5109
Mailing address
3259 Catlin Ave
Quantico, VA 22134-5109
Phone (703) 784-1779
Other providers in Quantico, VA
- Elizabeth Coenen Cooper
- Alyssa Cox
- Credible Nurses
- Joshua V Crisano
- Jessica L Crompton
- Sterling Leann Cupp
- Shane Izon Datugan
- Paula Davidson
- Ramesh D Doshi
- Althea Douglas
All providers in Quantico, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2025. 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.