Healthcare Provider Details

I. General information

NPI: 1477466126
Provider Name (Legal Business Name): MONIKA CUNNINGHAM LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 US HIGHWAY 9 N STE 204
WOODBRIDGE NJ
07095-1200
US

IV. Provider business mailing address

PO BOX 1061
EDISON NJ
08818-1061
US

V. Phone/Fax

Practice location:
  • Phone: 848-279-8031
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SL07522500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: