Channon M Cunningham in Williamsport - Clinical
Channon M Cunningham - NPI 1023096856
Channon M Cunningham is a Clinical in Williamsport, Pennsylvania. Channon M Cunningham practices all healthcare services and medical treatments related to Clinical. The NPI Number for Channon M Cunningham is 1023096856. The last update date is 2020-10-27.
Channon M Cunningham's current location address is 460 Market St, Williamsport, Pennsylvania. You can contact this provider via phone number 5702129481 and fax number 5706519250. The mailing address for Channon M Cunningham is 460 Market St, Williamsport, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Channon M Cunningham |
|---|---|
| Address | 460 Market St, Williamsport, Pennsylvania |
| Phone Number | 5702129481 |
| Fax Number | 5706519250 |
| Sole Proprietor | N |
| Credentials | MSW, LCSW, |
NPI Number Detail
| NPI Number | 1023096856 |
|---|---|
| Provider Enumeration Date | 2006-01-03 |
| Last Updated Date | 2020-10-27 |
Provider Mailing Address Detail
| Address | 460 Market St |
|---|---|
| City | Williamsport |
| State | Pennsylvania (PA) |
| Post Code | 177016321 |
| Phone Number | 5702129481 |
| Fax Number | 5706519250 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CW014860 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1362328 | PA | BLUE CROSS/BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Channon M Cunningham by the Centers for Medicare & Medicaid Services?
The Channon M Cunningham has been assigned the NPI (National Provider Identifier) 1023096856 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Channon M Cunningham is located?
The Channon M Cunningham is situated at the following address: 460 Market St, Williamsport, PA, 177016321.
What is the Channon M Cunningham's specialty and taxonomy code?
The Channon M Cunningham's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Channon M Cunningham receive its 1023096856 assignment from the Centers for Medicare & Medicaid Services?
The Channon M Cunningham was assigned its 1023096856 on 2006-01-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Channon M Cunningham most recently updated?
The details pertaining to the Channon M Cunningham, including its address, specialty, and other relevant information, were last refreshed on 2020-10-27.
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