Provider Demographics
NPI:1396869343
Name:HINES-CUNNINGHAM, LORNA J (LCSW)
Entity type:Individual
Prefix:MS
First Name:LORNA
Middle Name:J
Last Name:HINES-CUNNINGHAM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 GARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2542
Mailing Address - Country:US
Mailing Address - Phone:201-836-5979
Mailing Address - Fax:201-837-6781
Practice Address - Street 1:830 GARRISON AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-2542
Practice Address - Country:US
Practice Address - Phone:201-836-5979
Practice Address - Fax:201-837-6781
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0201981041C0700X
NJ44SC014673001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical