Individual provider Active NPI

Teyanna Cunningham, LMSW

  • Clinical Social Worker
  • Ogdensburg, NY
National Provider Identifier
1790359016
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
112398 Issued in NY
Practice address
214 King St
Ogdensburg, NY 13669-1142
Phone
(315) 393-3600
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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 112398 NY Primary

Addresses

Primary practice location

214 King St
Ogdensburg, NY 13669-1142

Mailing address

214 King St
Ogdensburg, NY 13669-1142

Other names 1

  • Mrs. Teyanna Marie Cunningham Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20250207002961 NY Practitioner - Clinical Social Worker 3173987351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carthage Area Hospital IncGroup PAC ID 9931010485, 119 clinicians

Practice addresses (Care Compare)

214 King St
Suite a
Ogdensburg, NY 13669-1142
Phone (315) 393-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112398NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carthage Area Hospital, Inc. CurrentSince Jul 31, 2025 Accepting new patients
Carthage Area Hospital Inc CurrentSince Jul 31, 2025 Accepting new patients
Carthage Area Hospital Inc Current Accepting new patients
Claxton-Hepburn Medical Center CurrentSince Nov 29, 2024 Accepting new patients

Locations

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

214 King St
Ste A
Ogdensburg, NY 13669
Phone (315) 713-5660

Interoperability endpoints

  • Direct secure messaging: tcunningham@cahclinics.medentdirect.com

Organizations & group practices 4

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": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1790359016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 KING ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 KING ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691142",
            "telephone_number": "315-393-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "TEYANNA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "112398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEYANNA",
            "last_name": "CUNNINGHAM",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ogdensburg, NY

Sources for this page

Verify at the official NPI Registry.