Provider Demographics
NPI:1427541234
Name:CUNNINGHAM, CHRISTIE ANNE (MSW)
Entity type:Individual
Prefix:MS
First Name:CHRISTIE
Middle Name:ANNE
Last Name:CUNNINGHAM
Suffix:
Gender:
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137D FARRINGTON CT
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-7825
Mailing Address - Country:US
Mailing Address - Phone:732-915-6658
Mailing Address - Fax:
Practice Address - Street 1:171 MADISON AVE STE 400
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5153
Practice Address - Country:US
Practice Address - Phone:212-889-4042
Practice Address - Fax:212-889-3935
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-07
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0945671041C0700X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical