Alisyn Cundiff, is a
Social Worker - Clinical based in Appleton, Wisconsin. Alisyn Cundiff is licensed to practice in Wisconsin (license number 9489-123) and her current practice location is
10 Tri Park Way, Appleton, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 831-0070.
NPI number for Alisyn Cundiff is 1679067169 and her current mailing address is 1000 N Lynndale Dr Ste C, Appleton, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679067169.
Healthcare Provider's Profile
| Full Name | Alisyn Cundiff |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 10 Tri Park Way, Appleton, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679067169
- Provider Enumeration Date: 06/18/2018
- Last Update Date: 08/18/2025
Medical Identifiers
Medical identifiers for Alisyn Cundiff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679067169 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16629-131 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW61093140 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | 9489-123 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alisyn Cundiff is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alisyn Cundiff,
1000 N Lynndale Dr Ste C,
Appleton, WI 54914-3057
Ph: (920) 735-9010 | Alisyn Cundiff,
10 Tri Park Way,
Appleton, WI 54914-1658
Ph: (920) 831-0070 |
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