Healthcare Provider Details

I. General information

NPI: 1629992961
Provider Name (Legal Business Name): PRECIOUS CUNNINGHAM LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 K ST NW STE 300
WASHINGTON DC
20006-1631
US

IV. Provider business mailing address

611 PENNSYLVANIA AVE SE # 415
WASHINGTON DC
20003-4303
US

V. Phone/Fax

Practice location:
  • Phone: 888-878-8236
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLG200004497
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: