Individual provider Active NPI

David A. Cuna, LICSW

  • Clinical Social Worker
  • Dacula, GA
National Provider Identifier
1487135539
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119697 Issued in MA
Practice address
1362 Skipping Stone CT
Dacula, GA 30019
Phone
(617) 960-6852
Fax
(877) 760-0480
NPI assigned
Aug 27, 2018
Last updated
Jun 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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 119697 MA Primary

Addresses

Primary practice location

1362 Skipping Stone CT
Dacula, GA 30019

Mailing address

440 William F McClellan Hwy Ste 105B
Boston, MA 02128-1101
Phone (857) 366-7040

Other identifiers 1

IdentifierTypeStateIssuer
119697OtherMAMENTAL HEALTH PROVIVDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20201008002366 GA Practitioner - Clinical Social Worker 0941621049 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119697MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Care Associate Current Accepting new patients
Cuna Wellness Center CurrentSince Jan 28, 2024 Accepting new patients
Thrive Counseling LLC CurrentSince Aug 20, 2020 Accepting new patients
Trinity Care Associate Current Accepting new patients

Locations

8800 Roswell Rd
Ste A135
Sandy Springs, GA 30350
Phone (617) 395-5806

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 5

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": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1487135539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 WILLIAM F MCCLELLAN HWY STE 105B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021281101",
            "telephone_number": "857-366-7040",
            "fax_number": "617-418-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 SKIPPING STONE CT",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "30019",
            "telephone_number": "617-960-6852",
            "fax_number": "877-760-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNA",
        "first_name": "DAVID",
        "middle_name": "A.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-27",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH PROVIVDER",
            "identifier": "119697",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

Verify at the official NPI Registry.