Individual provider Active NPI

Ana Maria Daniela Cunningham, LCSW

  • Clinical Social Worker
  • Petoskey, MI
National Provider Identifier
1780350322
Registry record updated Mar 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3890 Charlevoix Rd Ste 306
Petoskey, MI 49770-8423
Phone
(248) 974-5660
Fax
(231) 881-9132
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2024

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 Primary

Addresses

Primary practice location

3890 Charlevoix Rd Ste 306
Petoskey, MI 49770-8423

Mailing address

902 Bluffs CT
Petoskey, MI 49770-8570
Phone (248) 974-5660

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://portal.therapyappointment.com/index.cfm/public:therapistdetail?directoryId=2358D7FEC72F4922B Direct
Other URL https://portal.therapyappointment.com/index.cfm/public:therapistdetail?directoryId=2358D7FEC72F4922B Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709337600000",
    "number": "1780350322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 BLUFFS CT",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708570",
            "telephone_number": "248-974-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 CHARLEVOIX RD STE 306",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708423",
            "telephone_number": "248-974-5660",
            "fax_number": "231-881-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "ANA",
        "middle_name": "MARIA DANIELA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://portal.therapyappointment.com/index.cfm/public:therapistdetail?directoryId=2358D7FEC72F4922B",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "902 Bluffs Ct",
            "city": "Petoskey",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497708570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://portal.therapyappointment.com/index.cfm/public:therapistdetail?directoryId=2358D7FEC72F4922B",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "902 Bluffs Ct",
            "city": "Petoskey",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497708570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; 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.