Individual provider Active NPI

Stephanie Oakley Cunningham, LCSW

  • Clinical Social Worker
  • Redondo Beach, CA
National Provider Identifier
1700274024
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
89910 Issued in CA
Practice address
112 S Catalina Ave Ste 3
Redondo Beach, CA 90277-3384
Phone
(424) 241-2669
NPI assigned
Jan 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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 89910 CA Primary

Addresses

Primary practice location

112 S Catalina Ave Ste 3
Redondo Beach, CA 90277-3384

Mailing address

PO Box 19
Portola, CA 96122-0019
Phone (530) 316-4248

Other practice location 1

1601 Pacific Coast Hwy Ste 290
Hermosa Beach, CA 90254-3283
Phone (424) 241-2669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
89910CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Unfiltered, Inc. Clinical CurrentSince Nov 18, 2025 Accepting new patients
University of Arkansas for Medical Sciences Past Accepting new patients

Locations

112 S Catalina Ave
Ste 3
Redondo Beach, CA 90277
Phone (424) 241-2669

Organizations & group practices 2

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": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1700274024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19",
            "city": "PORTOLA",
            "state": "CA",
            "postal_code": "961220019",
            "telephone_number": "530-316-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S CATALINA AVE STE 3",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773384",
            "telephone_number": "424-241-2669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Pacific Coast Hwy Ste 290",
            "address_purpose": "LOCATION",
            "city": "Hermosa Beach",
            "state": "CA",
            "postal_code": "902543283",
            "country_code": "US",
            "telephone_number": "424-241-2669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "STEPHANIE",
        "middle_name": "OAKLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "89910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.