Active NPIIndividual providerSole proprietor

Colleen M Cavanagh, LCSW

Social Worker, Clinical in Montclair, New Jersey

NPI Number1609140276
Practice location
89 Walnut St, Suite 204, Montclair, NJ 07042-4027
Fax
—
Last updated
April 4, 2013

Colleen Marie Cavanagh is a Social Worker, Clinical based in Montclair, NJ. Colleen Marie Cavanagh practices in Montclair, NJ and has the professional credentials of LCSW. The NPI Number for Colleen Marie Cavanagh is 1609140276 and holds a License No. 44SC05496700 (NJ). The current practice location address for Colleen Marie Cavanagh is 89 Walnut St, Suite 204, Montclair, NJ 07042-4027 and can be reached out via phone at 201-362-5793.

Provider Profile Details

NPI Number
1609140276
Provider Name
Colleen Marie Cavanagh
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
89 Walnut St, Suite 204, Montclair, NJ 07042-4027
Phone Number
201-362-5793
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 29, 2012
Last Update Date
April 4, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
89 Walnut St
Suite 204
Montclair, NJ 07042-4027
Zip
07042-4027
Phone Number
201-362-5793
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
39 N Mountain Ave
Apt 2
Montclair, NJ 07042-2351
City
Montclair
State
NJ
Zip
07042-2351
Phone Number
201-362-5793

License Information

License Number
44SC05496700
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Colleen M Cavanagh, LCSW?

The NPI number of Colleen M Cavanagh, LCSW is 1609140276. It was assigned on February 29, 2012 and is currently active in the NPPES registry.

What is the specialty of Colleen M Cavanagh, LCSW?

Colleen M Cavanagh, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05496700.

Where does Colleen M Cavanagh, LCSW practice?

The practice location is 89 Walnut St, Suite 204, Montclair, NJ 07042-4027. The office can be reached at 201-362-5793 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609140276 directly on the NPPES registry website.

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