Active NPI
Brenda Alice Cunningham, MSW, LCSW
- Clinical Social Worker
- Chouteau, OK
National Provider Identifier
1760701429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4139
- Practice address
- 120 W. Main Street
Chouteau, OK 74337 - Phone
- (918) 697-3822
- NPI assigned
- May 20, 2010
- Last updated
- Mar 13, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4139 | OK | Primary |
Addresses
Primary practice location
120 W. Main Street
Chouteau, OK 74337
Mailing address
120 W. Main Street
Chouteau, OK 74337
Phone (918) 697-3822
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4139 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426204800000",
"number": "1760701429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W. MAIN STREET",
"city": "CHOUTEAU",
"state": "OK",
"postal_code": "74337",
"telephone_number": "918-697-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W. MAIN STREET",
"city": "CHOUTEAU",
"state": "OK",
"postal_code": "74337",
"telephone_number": "918-697-3822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "BRENDA",
"middle_name": "ALICE",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-20",
"last_updated": "2015-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "4139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chouteau, OK
- C&K Home Care Inc
- Choteau Discount Pharmacy Inc (Choteau Discount Pharmacy)
- Chouteau Family Pharmacy, LLC (Chouteau Family Pharmacy)
- Chouteau-Mazie
- Colonial Care Center, LLC (Meadowbrook Nursing Center)
- Johnny Daryel Cunningham, LCSW
- Lance F. Dickison, LPC NCC
- Bradley Alan Duplantis, B.S., ATC
- Robert E Fox Jr., D.O.
- Grand Lake Mental Health Center, Inc (GRAND Mental Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.