Cavanagh, Kelli A

Cavanagh, Kelli A is an sole proprietor health care provider with primary practice located at 340 Veterans Memorial Hwy Second Floor Suite 2, Commack NY 11725-4300. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cavanagh, Kelli A can be contacted via phone (631) 864-2819.

Contact Information

Primary practice address
340 Veterans Memorial Hwy Second Floor Suite 2 Commack NY 11725-4300
Phone: (631) 864-2819
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R0574701 New York

Profile Details

NPI number 1982824678
LBN Legal business name Cavanagh, Kelli A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2007
Last updated Jul 8th, 2007 - about 17 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 1982824678 NPPES
New York Other 539822 VALUE OPTIONS
New York Other R0574701 VALUE OPTIONS
New York Other 7347271 VALUE OPTIONS
New York Other 198989 VALUE OPTIONS
New York Other P3366199 VALUE OPTIONS

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