Cunningham, Marlenia Evette

Cunningham, Marlenia Evette is an individual health care provider with primary practice located at 795 Willow Rd , Menlo Park CA 94025-2539. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cunningham, Marlenia Evette can be contacted via phone (650) 493-5000.

Contact Information

Primary practice address
795 Willow Rd Menlo Park CA 94025-2539
Phone: (650) 493-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X COO5675 North Carolina

Profile Details

NPI number 1356350730
LBN Legal business name Cunningham, Marlenia Evette
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Sep 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356350730 NPPES
Missouri MEDICAID 1356350730

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