Kali Cavanaugh LCSW LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

009198 Issued in CT

Legal business name

KALI CAVANAUGH LCSW LLC

Practice address

218 River Rd
Unionville, CT 06085-1098

Phone

(860) 377-3921

NPI assigned

Jun 17, 2016

Last updated

Jun 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kali Cavanaugh, LCSW

Title

Therapist/Owner

Phone

(860) 377-3921

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1124478474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 WOODLAND ST",
            "city": "SOUTH GLASTONBURY",
            "state": "CT",
            "postal_code": "060733524",
            "telephone_number": "860-377-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 RIVER RD",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851098",
            "telephone_number": "860-377-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALI CAVANAUGH LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "CAVANAUGH",
        "authorized_official_first_name": "KALI",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "860-377-3921",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "009198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.