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NPI Code Detail

MEDICARE: BRIAN CUNNINGHAM LCSW-C

MEDICARE: BRIAN CUNNINGHAM LCSW-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker20301MD
2104100000XSocial Worker20301MD

General Provider Information

NPI Number : 1447651146
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN CUNNINGHAM LCSW-C
Provider Business Mailing Address
First Line : 1125 WEST ST STE 200
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-4279
Country : US
Telephone Number : 443-620-4401
Fax Number :
Provider Business Practice Location Address
First Line : 1125 WEST ST STE 200
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-4279
Country : US
Telephone Number : 443-620-4401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2014
Last Update Date : 02/26/2021

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Directions to “ BRIAN CUNNINGHAM LCSW-C” Practice Location

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