Irene A Cunningham, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1976-123 Issued in WI

Practice address

1524 N Farwell Ave
Milwaukee, WI 53202-2329

Phone

(414) 273-2220

Fax

(414) 273-2223

NPI assigned

Dec 30, 2006

Sex

Female

Sole proprietor

No

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)

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 and National Provider Directory roles.

• Family Service Agency of Waukesha County Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waukesha, WI
  • NPI 1568404671
  NPD (past)
• Family Services of Waukesha

  • Community/Behavioral Health Agency
  • Waukesha, WI
  • NPI 1265677884
  NPD (past)
• Icf Consultants, Inc.

  • Marriage & Family Therapist
  • Milwaukee, WI
  • NPI 1518010800
  NPD (past)

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568528701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 W BLUEMOUND RD",
            "address_2": "202",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264156",
            "telephone_number": "262-352-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 N FARWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022329",
            "telephone_number": "414-273-2220",
            "fax_number": "414-273-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "IRENE",
        "middle_name": "A",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1976-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39731900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Cummins
• Isabella Cunha Barbosa, MD
• Peter Joseph Cunniff, MD
• Ashley M Cunningham, M.D.
• Christina Pamela Cunningham
• Jacinda Jasmine Cunningham
• Jamal Rashad Cunningham, M.ED., PSY.D.
• Latricia Waynette Cunningham, LCSW, SAC-IT
• Myeshia Cunningham
• Renata Marie Cunningham, COTA

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.