Jean M Cunningham, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006865 Issued in CT

Practice address

540 Litchfiled Street
C/O Irene Benza
Torrington, CT 06790-6679

Phone

(860) 496-6361

Fax

(860) 496-6389

NPI assigned

Jan 31, 2008

Last updated

Oct 18, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jean M Donovan Former name

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Clinical Social Worker

Education

Fordham University School of Medicine, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Challenging Minds LLCGroup PAC ID 9830429794, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jean.cunningham@xdr.hhchealthdirect.org

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.

• Challenging Minds LLC

  • Community/Behavioral Health Agency
  • Torrington, CT
  • NPI 1730745316
  Medicare reassignment Care Compare group NPD
• Connecticut Mental Health Specialists Inc

  • Psychiatry Physician
  • Farmington, CT
  • NPI 1053362814

  Clinical

  Medicare reassignment NPD
• The Charlotte Hungerford Hospital

  • General Acute Care Hospital
  • Torrington, CT
  • NPI 1629075734
  Medicare reassignment NPD
• The Charlotte Hungerford Hospital

  • Psychiatric Hospital Unit
  • Torrington, CT
  • NPI 1639255870
  NPD

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1972780005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 LITCHFILED STREET",
            "address_2": "C/O IRENE BENZA",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "telephone_number": "860-496-6361",
            "fax_number": "860-496-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LITCHFILED STREET",
            "address_2": "C/O IRENE BENZA",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "telephone_number": "860-496-6361",
            "fax_number": "860-496-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "JEAN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "DONOVAN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• CT Dementia Help, LLC
• CT Dementia Help, LLC
• Ctpc01 PC (AFC Urgent Care)
• Ctr Adv Ortho & Sports Medicine PC
• Laura Cummings, LCSW
• Susan Cunningham, RPH
• J Michael Bradley Curi, M.D.
• Margaret Currie, LCSW
• Darcey R Cusano, APRN
• Ryan Cuttitta

• Clinical Social Worker in Torrington, CT
• Providers in Torrington, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.