Active NPI
Cathleen Adiva Mauricette, LCSW
- Clinical Social Worker
- Holloman AFB, NM
National Provider Identifier
1023529146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW15987
- Practice address
- 280 1St St BLDG 23
Holloman AFB, NM 88330-8273 - Phone
- (575) 572-5676
- NPI assigned
- Oct 16, 2017
- Last updated
- Jul 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW15987 | FL | Primary |
Addresses
Primary practice location
280 1St St BLDG 23
Holloman AFB, NM 88330-8273
Mailing address
280 David L Goldfein St BLDG 23
Holloman AFB, NM 88330-8273
Phone (575) 572-5676
Other practice location 1
2151 W Hillsboro Blvd Ste 211
Deerfield Beach, FL 33442-1275
Phone (954) 694-7292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ISW9488 | Other | FL | REGISTERED CLINICAL SOCIAL WORK INTERN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW15987 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1023529146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 DAVID L GOLDFEIN ST BLDG 23",
"city": "HOLLOMAN AFB",
"state": "NM",
"postal_code": "883308273",
"telephone_number": "575-572-5676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 1ST ST BLDG 23",
"city": "HOLLOMAN AFB",
"state": "NM",
"postal_code": "883308273",
"telephone_number": "575-572-5676"
}
],
"practiceLocations": [
{
"address_1": "2151 W Hillsboro Blvd Ste 211",
"address_purpose": "LOCATION",
"city": "Deerfield Beach",
"state": "FL",
"postal_code": "334421275",
"country_code": "US",
"telephone_number": "954-694-7292",
"fax_number": "954-556-6179",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAURICETTE",
"first_name": "CATHLEEN",
"middle_name": "ADIVA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-16",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW15987",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED CLINICAL SOCIAL WORK INTERN",
"identifier": "ISW9488",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holloman AFB, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.