Carissa D Cavallaro, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC20841 Issued in ME

Practice address

37 Andover Rd
Portland, ME 04102-1936

Phone

(207) 661-3600

Fax

(207) 761-0783

NPI assigned

Jan 28, 2019

Last updated

Jun 25, 2025By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1033673645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 ANDOVER RD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021936",
            "telephone_number": "207-661-3600",
            "fax_number": "207-761-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 ANDOVER RD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021936",
            "telephone_number": "207-661-3600",
            "fax_number": "207-761-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLARO",
        "first_name": "CARISSA",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC20841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catholic Charities Maine
• Catholic Charities Maine
• Catholic Charities of Maine
• Patricia Danehy Catsos, M.S., R.D., L.D.
• Ryan Steven Caulfield
• Alexis A Cavic, MD
• Holly Marie Cavna, LCPC, LADC
• Jacquelyn Cawley, DO
• Robert R Cawley, D.O.
• Cedars Nursing Care Center Inc

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.