Individual provider Active NPI

Patricia Cunningham, LCSW

  • Clinical Social Worker
  • McKenzie, TN
National Provider Identifier
1225422355
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5642 Issued in TN
Practice address
1630 Cedar St
MC Kenzie, TN 38201-2512
Phone
(731) 415-5930
Fax
(731) 644-7358
NPI assigned
Mar 26, 2015
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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 5642 TN Primary

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

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

Other practice location 2

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

Other practice location 3

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

Other practice location 4

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

Other names 1

  • Patricia Cunningham-Purtteman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220620000783 TN Practitioner - Clinical Social Worker 2668851817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKenzie Medical Center PCGroup PAC ID 2365427853, 32 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5642TNMDMental Health Counselor

Practice roles

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

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

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

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

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

Organizations & group practices 3

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1225422355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 CEDAR ST",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382012512",
            "telephone_number": "731-415-5930",
            "fax_number": "731-644-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 CEDAR ST",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382012512",
            "telephone_number": "731-415-5930",
            "fax_number": "731-644-7358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205A Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Mc Kenzie",
            "state": "TN",
            "postal_code": "382011649",
            "country_code": "US",
            "telephone_number": "731-352-7907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205C Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Mc Kenzie",
            "state": "TN",
            "postal_code": "382011649",
            "country_code": "US",
            "telephone_number": "731-207-8560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Wildcat Ln",
            "address_purpose": "LOCATION",
            "city": "Mc Kenzie",
            "state": "TN",
            "postal_code": "382012020",
            "country_code": "US",
            "telephone_number": "731-352-4027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 Highway 641 N",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "TN",
            "postal_code": "383203012",
            "country_code": "US",
            "telephone_number": "731-213-2344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "CUNNINGHAM-PURTTEMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McKenzie, TN

Sources for this page

Verify at the official NPI Registry.