Individual provider · NPI-1

Siobhan Deann Cunningham, LCSW

Social Worker, Clinical · Palmer, AK

NPI number1104165182
StatusActive
Last updated in NPPESSep 22, 2026

Details

NPI
1104165182
Entity type
Individual (NPI-1)
Name
Siobhan Deann Cunningham
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 11, 2013
Certification date
Sep 22, 2026
Last updated
Sep 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical136666AKYes
1041C0700X Social Worker, ClinicalSW11012FL

Other names

  • Siobhan Gass (Former Name)

Practice location

500 S Cobb St Unit 2631
Palmer, AK 99645-1140

Phone 561-573-6175

Mailing address

500 S Cobb St Unit 2631
Palmer, AK 99645-1140

Phone 561-573-6175

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