Individual provider Active NPI

MJ Cunningham, MSW, LISW

  • School Social Worker
  • Albuquerque, NM
National Provider Identifier
1194889154
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
I-3585 Issued in NM
Practice address
1522 Hermosa Dr NE
Albuquerque, NM 87110-5625
Phone
(505) 440-2682
NPI assigned
Dec 21, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 I-3585 NM
School Social Worker 1041S0200X I-3585 NM Primary

Addresses

Primary practice location

1522 Hermosa Dr NE
Albuquerque, NM 87110-5625

Mailing address

1522 Hermosa Dr NE
Albuquerque, NM 87110-5625
Phone (505) 440-2682

Other names 1

  • Mary Jean Cunningham Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20250404003242 NM Practitioner - Clinical Social Worker 2668996133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Fe Psychology, LLCGroup PAC ID 0547563058, 7 clinicians

Practice addresses (Care Compare)

2204 Brothers Rd
Suite B
Santa Fe, NM 87505-6975
Phone (505) 795-5566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-3585NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Fe Psychology, LLC CurrentSince Feb 3, 2025 Accepting new patients

Locations

2204 Brothers Rd
Ste B
Santa Fe, NM 87505
Phone (505) 699-3681

Organizations & group practices 1

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1194889154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 HERMOSA DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105625",
            "telephone_number": "505-440-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 HERMOSA DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105625",
            "telephone_number": "505-440-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "MJ",
        "credential": "MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "I-3585",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "I-3585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY JEAN",
            "last_name": "CUNNINGHAM",
            "credential": "MSW, LISW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.