Provider Demographics
NPI:1780350322
Name:CUNNINGHAM, ANA MARIA DANIELA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ANA
Middle Name:MARIA DANIELA
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:902 BLUFFS CT
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-8570
Mailing Address - Country:US
Mailing Address - Phone:248-974-5660
Mailing Address - Fax:
Practice Address - Street 1:3890 CHARLEVOIX RD STE 306
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-8423
Practice Address - Country:US
Practice Address - Phone:248-974-5660
Practice Address - Fax:231-881-9132
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-23
Last Update Date:2024-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty