Patricia Cunningham, LCSW

Individual provider Active NPI Clinical Social Worker · MC Kenzie, TN

NPI 1225422355 · NPPES record last updated Oct 10, 2025

Key facts

NPI
1225422355
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
5642 (TN)
Practice address
1630 Cedar St
MC Kenzie, TN 38201-2512
Phone
(731) 415-5930
Fax
(731) 644-7358
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
Yes

Organizations & group practices 10

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKenzie Medical Center PC (32 clinicians)

Practice addresses (Care Compare)

205 A Hospital Dr
MC Kenzie, TN 38201-2024
Phone (901) 352-7907

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220620000783 TN Practitioner - Clinical Social Worker 2668851817 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
5642TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
McKenzie Medical Center PC Clinical Current Accepting new patients
McKenzie Medical Center PC Current
since May 1, 2022
Accepting new patients
McKenzie Medical Center PC Current
since May 1, 2022
Accepting new patients

Locations

306 Highway 641 N
Camden, TN 38320
Phone (731) 213-2344

205 Court Sq
#A
Huntingdon, TN 38344
Phone (731) 535-5765

205C Hospital Dr
Mc Kenzie, TN 38201
Phone (731) 352-0820

205 Hospital Dr
Ste C
Mc Kenzie, TN 38201
Phone (731) 207-8560

205 Hospital Dr
Ste A
Mc Kenzie, TN 38201
Phone 7313527907 ext. 429

175 Wildcat Ln
Mc Kenzie, TN 38201
Phone (731) 352-4027

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5642 TN Yes

Addresses

Primary practice location

1630 Cedar St
MC Kenzie, TN 38201-2512

Mailing address

1630 Cedar St
MC Kenzie, TN 38201-2512
Phone (731) 415-5930

Other practice location 1

175 Wildcat Ln
Mc Kenzie, TN 38201-2020
Phone (731) 352-4027

Other practice location 2

205C Hospital Dr
Mc Kenzie, TN 38201-1649
Phone (731) 207-8560

Other practice location 3

306 Highway 641 N
Camden, TN 38320-3012
Phone (731) 213-2344

Other practice location 4

205A Hospital Dr
Mc Kenzie, TN 38201-1649
Phone (731) 352-7907

Other names

  • Patricia Cunningham-Purtteman Former name

Other providers in MC Kenzie, TN

All providers in MC Kenzie, TN · Clinical Social Worker in Tennessee

Sources for this page

Verify at the official NPI Registry.