Individual provider Active NPI

Jeremy Eric Cunningham-Allbert, LICSW

  • Clinical Social Worker
  • Wareham, MA
National Provider Identifier
1841781440
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120192 Issued in MA
Practice address
100 Rosebrook Way Ste 100
Wareham, MA 02571-1140
Phone
(508) 291-1100
NPI assigned
May 21, 2018
Last updated
May 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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 120192 MA Primary

Addresses

Primary practice location

100 Rosebrook Way Ste 100
Wareham, MA 02571-1140

Mailing address

1301 Service Rd
West Barnstable, MA 02668-1850

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
120192MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bio-Medical Applications of Massachusetts, Inc. PastSince Nov 1, 2020 Accepting new patients
Bio-Medical Applications of Massachusetts, Inc. 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, 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": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1841781440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SERVICE RD",
            "city": "WEST BARNSTABLE",
            "state": "MA",
            "postal_code": "026681850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROSEBROOK WAY STE 100",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025711140",
            "telephone_number": "508-291-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM-ALLBERT",
        "first_name": "JEREMY",
        "middle_name": "ERIC",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wareham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.