Susan Diane Cavenaugh, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003332 Issued in GA

Practice address

1826 Veteran'S Boulevard
Carl Vinson VA Medical Center
Dublin, GA 31021

Phone

(478) 272-1210

Fax

(478) 277-2717

NPI assigned

Mar 21, 2007

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

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1326164591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 PRESTON CREEK DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538983",
            "telephone_number": "678-548-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 VETERAN'S BOULEVARD",
            "address_2": "CARL VINSON VA MEDICAL CENTER",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31021",
            "telephone_number": "478-272-1210",
            "fax_number": "478-277-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVENAUGH",
        "first_name": "SUSAN",
        "middle_name": "DIANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph E Carruth, MD
• Christopher Drew Carswell, M.D.
• Colleen M Carter, MPT
• Ralph Phillip Carter, RPH
• Tirso A Castillo, MD
• Central Ga Urology LLC
• Central Georgia Foot and Ankle Center PC
• Eva Mae Chapman, RN
• Pride R Chapman, MD
• Merry Yvette Chatfield, LMSW

• Clinical Social Worker in Dublin, GA
• Providers in Dublin, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.