Kelli A Cavanagh is a Clinical in Commack, New York. Kelli A Cavanagh practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelli A Cavanagh is 1982824678. The last update date is 2007-07-08.
Kelli A Cavanagh's current location address is 340 Veterans Memorial Hwy, Commack, New York. You can contact this provider via phone number 6318642819. The mailing address for Kelli A Cavanagh is 340 Veterans Memorial Hwy, Commack, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelli A Cavanagh |
|---|---|
| Address | 340 Veterans Memorial Hwy, Commack, New York |
| Phone Number | 6318642819 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1982824678 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 340 Veterans Memorial Hwy |
|---|---|
| City | Commack |
| State | New York (NY) |
| Post Code | 117254300 |
| Phone Number | 6318642819 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R0574701 |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 539822 | NY | VALUE OPTIONS | |
| R0574701 | NY | HIP GREATER NY | |
| 7347271 | NY | GHI NY | |
| 198989 | NY | MHN | |
| P3366199 | NY | OXFORD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kelli A Cavanagh by the Centers for Medicare & Medicaid Services?
The Kelli A Cavanagh has been assigned the NPI (National Provider Identifier) 1982824678 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Kelli A Cavanagh's facilities are situated?
The facilities of Kelli A Cavanagh are physically located at the following address: 340 Veterans Memorial Hwy, Commack, NY, 117254300.
What is the Kelli A Cavanagh's area of specialization and corresponding taxonomy classification?
The Kelli A Cavanagh's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Kelli A Cavanagh receive the assignment of its 1982824678 from the Centers for Medicare & Medicaid Services?
The Kelli A Cavanagh was issued its 1982824678 by the Centers for Medicare & Medicaid Services on 2007-04-26.
When was the information pertaining to Kelli A Cavanagh most recently updated or revised?
The details related to Kelli A Cavanagh, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.