Active NPI
Kathryn Patricia Cunningham, LCSW
- Clinical Social Worker
- Chesapeake, VA
National Provider Identifier
1831331248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904003710
- Practice address
- 3804 Poplar Hill Rd Ste a
Chesapeake, VA 23321-5524 - Phone
- (757) 484-0703
- Fax
- (757) 484-1096
- NPI assigned
- Mar 31, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 0904003710 | VA | Primary |
Addresses
Primary practice location
3804 Poplar Hill Rd Ste a
Chesapeake, VA 23321-5524
Mailing address
5361A Virginia Beach Blvd
Virginia Beach, VA 23462-1897
Phone (757) 456-2366
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of Eastern Virginia Inc | Past | Accepting new patients | |
| T Med Behavioral Inc | Clinical | Past | Accepting new patients |
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.
-
- Counselor
- Virginia Beach, VA
- NPI 1962432294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238457600000",
"number": "1831331248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5361A VIRGINIA BEACH BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621897",
"telephone_number": "757-456-2366",
"fax_number": "757-456-2367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3804 POPLAR HILL RD STE A",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215524",
"telephone_number": "757-484-0703",
"fax_number": "757-484-1096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "KATHRYN",
"middle_name": "PATRICIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-31",
"last_updated": "2009-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904003710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.