Matthew Peter Cavanaugh, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.024703 Issued in IL

Practice address

899 Skokie Blvd Ste 408
Northbrook, IL 60062-4024

Phone

(847) 559-3240

NPI assigned

Aug 15, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 10, 2025 through Apr 10, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sociability Groups, PLLC

  • Clinical Social Worker
  • Northbrook, IL
  • NPI 1366181950
  NPD
• Sociability Therapy, PLLC

  • Clinical Social Worker
  • Northbrook, IL
  • NPI 1568952232
  NPD

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1013635234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W SUPERIOR ST APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225611",
            "telephone_number": "708-691-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 SKOKIE BLVD STE 408",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624024",
            "telephone_number": "847-559-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "MATTHEW",
        "middle_name": "PETER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Cassidy, M.A., LCPC
• Jocelyn Castillo, RBT-19-74847
• Alaya Castro
• Jeliver Castro
• Cathie Dunal MD MPH SC
• Cawn / Krantz & Assoc., LTD.
• Charleyne Cawn, CCC-SLP
• Malory Goldin Ceaser, LCSW
• Angela Ceisel, PSY. D.
• Kenneth Celiano

• Clinical Social Worker in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.