Active NPI
Laura Cavanagh, LICSW
- Clinical Social Worker
- West Springfield, MA
National Provider Identifier
1174058796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 114261
- Practice address
- 103 Myron St
Suite a
West Springfield, MA 01089-1598 - Phone
- (413) 592-1980
- Fax
- (413) 439-0100
- NPI assigned
- Apr 21, 2017
- 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 | 114261 | MA | Primary |
Addresses
Primary practice location
103 Myron St
Suite a
West Springfield, MA 01089-1598
Mailing address
103 Myron St
Suite a
West Springfield, MA 01089-1598
Phone (413) 592-1980
Other names 1
- Laura Cunningham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114261 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The McLean Hospital Corporation | Clinical | Current | Accepting new patients |
Locations
115 Mill St
Belmont, MA 02478
Phone (617) 855-2000
Interoperability endpoints
- cavanagh.laura.mcl@direct.partners.masshiway.net
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": "1492732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492732800000",
"number": "1174058796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 MYRON ST",
"address_2": "SUITE A",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010891598",
"telephone_number": "413-592-1980",
"fax_number": "413-439-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MYRON ST",
"address_2": "SUITE A",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010891598",
"telephone_number": "413-592-1980",
"fax_number": "413-439-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVANAGH",
"first_name": "LAURA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-21",
"last_updated": "2017-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "114261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "CUNNINGHAM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.