Individual provider Active NPI

Candace Cavaretta, LCSW

  • Clinical Social Worker
  • Covington, LA
National Provider Identifier
1043843154
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13686 Issued in LA
Practice address
25 Catalpa Trce
Covington, LA 70433-5713
Phone
(504) 913-6018
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13686 LA Primary

Addresses

Primary practice location

25 Catalpa Trce
Covington, LA 70433-5713

Mailing address

25 Catalpa Trce
Covington, LA 70433-5713
Phone (504) 913-6018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231011004082 LA Practitioner - Clinical Social Worker 0840645883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caravelle Care IncGroup PAC ID 7416243985, 10 clinicians

Practice addresses (Care Compare)

255 W Florida St
Suite 200
Mandeville, LA 70448-3022
Phone (504) 267-7324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caravelle Care Inc. Clinical CurrentSince Oct 16, 2023 Accepting new patients

Locations

255 W Florida St
Ste 200
Mandeville, LA 70448
Phone (504) 267-7324

4300 S I 10 Service Rd W
Ste 102
Metairie, LA 70001
Phone (504) 267-7324

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1043843154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CATALPA TRCE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335713",
            "telephone_number": "504-913-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CATALPA TRCE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335713",
            "telephone_number": "504-913-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVARETTA",
        "first_name": "CANDACE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "13686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.