Pefy Cunningham, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20428 Issued in AZ

Practice address

55 S 5TH St
Sierra Vista, AZ 85635-1857

Phone

(520) 452-9784

NPI assigned

Jun 29, 2022

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 names 1

• Pefy Fraser Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1548781487

  AZ

  Medicare reassignment NPD
• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1760906440
  NPD
• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1831062603
  NPD
• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Sierra Vista, AZ
  • NPI 1720232168
  NPD (past)

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1679205462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 E BROADWAY BLVD STE A200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103901",
            "telephone_number": "520-327-1529",
            "fax_number": "520-327-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S 5TH ST",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351857",
            "telephone_number": "520-452-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "PEFY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "20428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEFY",
            "last_name": "FRASER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fredrick Michael Cramer, M.D.
• Kara Kae Creech, RN
• Matthew Crosby, D.O.
• Pamela Lynne Crouch
• Sofia Anna Crowe, LCSW
• CVS
• Steven K Dahlke, MD. PEDIATRICS
• Geneva Daneker, FNP
• Daniels Creek Group, LLC
• Kelly Danielson

• All providers in Sierra Vista, AZ
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.