Provider Demographics
NPI:1033855317
Name:CUNNINGHAM, WHITNEY SHEREE (LCSW, LCDC)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:SHEREE
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:LCSW, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7452 DARIEN ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76140-2414
Mailing Address - Country:US
Mailing Address - Phone:469-957-6288
Mailing Address - Fax:
Practice Address - Street 1:7452 DARIEN ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76140-2414
Practice Address - Country:US
Practice Address - Phone:469-957-6288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX659021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty