Individual provider Active NPI

Makayla T Cunningham, LCSW

  • Clinical Social Worker
  • King of Prussia, PA
National Provider Identifier
1811506918
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021198 Issued in PA
Practice address
150 S Warner Rd Ste 310
King of Prussia, PA 19406-2860
Phone
(866) 659-1177
NPI assigned
Jul 24, 2020
Last updated
Dec 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 009836 CT
Clinical Social Worker 1041C0700X ISW02623 RI
Clinical Social Worker 1041C0700X CW021198 PA Primary

Addresses

Primary practice location

150 S Warner Rd Ste 310
King of Prussia, PA 19406-2860

Mailing address

150 S Warner Rd Ste 310
King of Prussia, PA 19406-2860
Phone (215) 298-2511

Other practice location 1

2136 E Hagert St
Philadelphia, PA 19125-1641
Phone (401) 996-2066

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
CW021198PAMDClinical Social Worker
ISW02623RIMDClinical Social Worker
009836CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alegis Care - Pennsylvania PC CurrentSince Dec 22, 2020 Accepting new patients

Locations

150 S Warner Rd
Ste 310
King of Prussia, PA 19406
Phone (866) 659-1177

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1811506918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S WARNER RD STE 310",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062860",
            "telephone_number": "215-298-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S WARNER RD STE 310",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062860",
            "telephone_number": "866-659-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2136 E Hagert St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191251641",
            "country_code": "US",
            "telephone_number": "401-996-2066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "MAKAYLA",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-12-17",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009836",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02623",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.