Yucca Desert Counseling Licensed Clinical Social Worker P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

YUCCA DESERT COUNSELING LICENSED CLINICAL SOCIAL WORKER P.C.

Practice address

57490 29 Palms Hwy Ste C
Yucca Valley, CA 92284-2963

Phone

(909) 480-6566

NPI assigned

Apr 10, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Candice Cavanaugh, LCSWNPI 1366903635

Title

Licensed Clinical Social Worker

Phone

(909) 480-6566

Specialties & licenses 1

Addresses

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candice Marie Cavanaugh, LCSW

  • Clinical Social Worker
  • Yucca Valley, CA
  • NPI 1366903635

  Mental Health

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1003759598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 894",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922860894",
            "telephone_number": "909-480-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57490 29 PALMS HWY STE C",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842963",
            "telephone_number": "909-480-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUCCA DESERT COUNSELING LICENSED CLINICAL SOCIAL WORKER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "CAVANAUGH",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "909-480-6566",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jim Ying-Jian Wu, MD
• Mary Yantes
• Yoonho Chang DDS Inc.
• Lynna R. Young, FNP-C
• Marilyn Yu, MD
• Yucca Family Medical Care, Inc.
• Yucca Family Medical Care, Inc.
• Yucca Valley Family Medical Associates, Inc.
• Yucca Valley Fire District
• Yucca Valley Medical Clinic

• All providers in Yucca Valley, CA
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.