Active NPI
Dimitrios Anthanasios Cavathas, LCSW-C
- Clinical Social Worker
- Salisbury, MD
National Provider Identifier
1346287299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10045
- Practice address
- 208 East Main St Suite C
Salisbury, MD 21801-4156 - Phone
- (443) 324-9486
- NPI assigned
- May 31, 2006
- Sex
- Male
- 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 | 10045 | MD | Primary |
Addresses
Primary practice location
208 East Main St Suite C
Salisbury, MD 21801-4156
Mailing address
208 E Main St Ste C
Salisbury, MD 21801-4923
Phone (443) 324-9486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 903501000 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10045 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1346287299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 E MAIN ST STE C",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218014923",
"telephone_number": "443-324-9486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 EAST MAIN ST SUITE C",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218014156",
"telephone_number": "443-324-9486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVATHAS",
"first_name": "DIMITRIOS",
"middle_name": "ANTHANASIOS",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2023-06-26",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "10045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "903501000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.