Individual provider Active NPI

Kathleen Ann Cunningham, MA MSW LCSW BCD

  • Social Worker
  • Monroeville, PA
National Provider Identifier
1336130269
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CW013031 Issued in PA
Practice address
2550 Mosside Blvd
Suite 304
Monroeville, PA 15146
Phone
(412) 373-3471
Fax
(412) 373-7324
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CW013031 PA Primary

Addresses

Primary practice location

2550 Mosside Blvd
Suite 304
Monroeville, PA 15146

Mailing address

2550 Mosside Blvd
Suite 304
Monroeville, PA 15146
Phone (412) 373-3471

Other names 1

  • Kathleen A Verrengia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040816000212 PA Practitioner - Clinical Social Worker 2668456088 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Charles P. Gallo Social Worker Past Accepting new patients

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1336130269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MOSSIDE BLVD",
            "address_2": "SUITE 304",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "15146",
            "telephone_number": "412-373-3471",
            "fax_number": "412-373-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MOSSIDE BLVD",
            "address_2": "SUITE 304",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "15146",
            "telephone_number": "412-373-3471",
            "fax_number": "412-373-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA MSW LCSW BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW013031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "VERRENGIA",
            "middle_name": "A",
            "credential": "MA MSW LCSW BCD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.