| Rachel Lynn Cunningham Lmsw Pc | |
|
270 Juniper Rd Kings Park NY 11754-3131 | |
| (631) 469-4428 | |
| Not Available |
| Full Name | Rachel Lynn Cunningham Lmsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 270 Juniper Rd, Kings Park, New York |
| Authorized Official Name and Position | Rachel Cunningham (OWNER) |
| Authorized Official Contact | 6314694428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Lynn Cunningham Lmsw Pc 270 Juniper Rd Kings Park NY 11754-3131 Ph: (631) 469-4428 | Rachel Lynn Cunningham Lmsw Pc 270 Juniper Rd Kings Park NY 11754-3131 Ph: (631) 469-4428 |
| NPI Number | 1811643927 |
|---|---|
| Provider Enumeration Date | 02/28/2022 |
| Last Update Date | 05/27/2022 |
| Certification Date | 05/27/2022 |
| Medicare PECOS PAC ID | 6406242015 |
|---|---|
| Medicare Enrollment ID | O20220407001969 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811643927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rachel Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629525498 PECOS PAC ID: 0345642617 Enrollment ID: I20210708002204 |
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