Rita Kavanagh

Primary specialty

Social WorkerTaxonomy code 104100000X

License

090022-1/832481 Issued in NY

Practice address

3398 Lufberry Ave
Wantagh, NY 11793-3006

Phone

(516) 804-6242

NPI assigned

Apr 16, 2014

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

Other names 1

• Mrs. Rita Nolan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1396164406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3398 LUFBERRY AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933006",
            "telephone_number": "516-804-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3398 LUFBERRY AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933006",
            "telephone_number": "516-804-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAGH",
        "first_name": "RITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "090022-1/832481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITA",
            "last_name": "NOLAN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• K.T. Kamins
• Kristen Ann Kannengeiser, M.S.
• Lalita Kapoor, RN
• William Steven Kappel, D.D.S.
• Alexei Kartachov, M.D.
• Nicole Marlene Keating, MSED
• Nancy Keelan, LMSW
• Sean Jeffrey Keller, MD
• Sinead Mary Kennedy, LCSW, CASAC
• Julianne Keym, CCC-SLP

• Social Worker in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.