Provider Demographics
NPI:1952449431
Name:CUNNINGHAM, LAUREN D (MSW)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:D
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 VICENTE ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94127-1301
Mailing Address - Country:US
Mailing Address - Phone:415-585-4551
Mailing Address - Fax:415-587-5836
Practice Address - Street 1:35 VICENTE ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94127-1301
Practice Address - Country:US
Practice Address - Phone:415-585-4551
Practice Address - Fax:415-587-5836
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 44161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical