Individual provider Active NPI

Lorna J Hines-Cunningham, LCSW

  • Clinical Social Worker
  • Teaneck, NJ
National Provider Identifier
1396869343
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01467300 Issued in NJ
Practice address
830 Garrison Ave
Teaneck, NJ 07666-2542
Phone
(201) 836-5979
Fax
(201) 837-6781
NPI assigned
Mar 16, 2007
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 020198 NY
Clinical Social Worker 1041C0700X 44SC01467300 NJ Primary

Addresses

Primary practice location

830 Garrison Ave
Teaneck, NJ 07666-2542

Mailing address

830 Garrison Ave
Teaneck, NJ 07666-2542
Phone (201) 836-5979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260121000064 NY Practitioner - Clinical Social Worker 0749722106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11835 Queens Blvd
FL 6
Forest Hills, NY 11375-7204

876 Greenwood Rd
Teaneck, NJ 07666-6620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC01467300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Child Center of Ny, Inc. CurrentSince May 7, 2024 Accepting new patients

Locations

14015 Sanford Ave
Ste B
Flushing, NY 11355
Phone (718) 450-9242

11835 Queens Blvd
Fl 6
Forest Hills, NY 11375
Phone (718) 851-7770

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1396869343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 GARRISON AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662542",
            "telephone_number": "201-836-5979",
            "fax_number": "201-837-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 GARRISON AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662542",
            "telephone_number": "201-836-5979",
            "fax_number": "201-837-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES-CUNNINGHAM",
        "first_name": "LORNA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "020198",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01467300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.