Jessica Cunningham
Individual provider Active NPI Social Worker · Crowley, TX
NPI 1487585170 · NPPES record last updated May 29, 2026
Key facts
- NPI
- 1487585170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 150113105 (IL)
- Practice address
- 4129 Tower LN
Crowley, TX 76036-1321 - Phone
- (254) 462-1017
- NPI assigned
- May 29, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150113105 | IL | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | 150113105 | IL | Yes |
Addresses
Primary practice location
4129 Tower LN
Crowley, TX 76036-1321
Mailing address
4129 Tower LN
Crowley, TX 76036-1321
Phone (254) 462-1017
Other providers in Crowley, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.