Individual provider Active NPI

Richard D Cunningham, MSW,LCSW

  • Clinical Social Worker
  • Oak Brook, IL
National Provider Identifier
1487878591
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149004793 Issued in IL
Practice address
1010 Jorie Blvd
Suite 12
Oak Brook, IL 60523-2215
Phone
(630) 368-9100
Fax
(630) 990-0506
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2013

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 149004793 IL Primary

Addresses

Primary practice location

1010 Jorie Blvd
Suite 12
Oak Brook, IL 60523-2215

Mailing address

1010 Jorie Blvd
Suite 12
Oak Brook, IL 60523-2215
Phone (630) 368-9100

Other identifiers 1

IdentifierTypeStateIssuer
01618323OtherILBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149004793ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Leyden Dupage Counseling Service Clinical CurrentSince May 7, 2013 Accepting new patients
Leyden Dupage Counseling Services Past Accepting new patients
Leyden Dupage Counseling Service Past Accepting new patients

Locations

1010 Jorie Blvd
Ste 12
Oak Brook, IL 60523
Phone (630) 368-9100

Organizations & group practices 3

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1487878591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 JORIE BLVD",
            "address_2": "SUITE 12",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232215",
            "telephone_number": "630-368-9100",
            "fax_number": "630-990-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 JORIE BLVD",
            "address_2": "SUITE 12",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232215",
            "telephone_number": "630-368-9100",
            "fax_number": "630-990-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149004793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "01618323",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.