Ana Cupp, MSW, CSW-INTERN

Primary specialty

Social WorkerTaxonomy code 104100000X

License

8442-S Issued in NV

Practice address

11230 SW 90TH Ave
Portland, OR 97223-6423

Phone

(775) 830-3568

NPI assigned

Sep 30, 2021

Last updated

Jan 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fill Your Cupp Therapy LLC

  dba Fill Your Cupp Therapy

  • Clinical Social Worker
  • Tigard, OR
  • NPI 1184450520
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1366114068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 SW 90TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236423",
            "telephone_number": "775-830-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 SW 90TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236423",
            "telephone_number": "775-830-3568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16100 NW Cornell Rd # 220",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970067334",
            "country_code": "US",
            "telephone_number": "503-878-8885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUPP",
        "first_name": "ANA",
        "credential": "MSW, CSW-INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "8442-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00001142210",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Wilhelmina Cunningham
• Samantha C Cunningham, LCSW
• Sarah Cunningham
• Travis Cunningham
• Edward J. Cupler, MD
• Kirsten Curcio, RN
• Oana Curelaru, RN
• Karen Cureton, N.D. L.AC.
• Jocelyn Sofia Curiel Ruiz
• Aracely Curiel

• Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.