Individual provider Active NPI

David T. Cavanaugh Jr., LCSW

  • Clinical Social Worker
  • Alexandria, VA
National Provider Identifier
1609930098
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904-000917 Issued in VA
Practice address
300 N Washington Street
Suite 707
Alexandria, VA 22314-2530
Phone
(703) 399-4400
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904-000917 VA Primary

Addresses

Primary practice location

300 N Washington Street
Suite 707
Alexandria, VA 22314-2530

Mailing address

422 Wolfe St
Alexandria, VA 22314-3728
Phone (703) 836-6989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260523000181 DC Practitioner - Clinical Social Worker 8325341431 Practice locations: Alexandria, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10719 Scott Dr
Fairfax, VA 22030-3022

300 N Washington St
Suite 207
Alexandria, VA 22314-2530
Phone (703) 399-4400

422 Wolfe St
Alexandria, VA 22314-3728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904-000917VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mary C. Ray Past Accepting new patients

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1609930098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 WOLFE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143728",
            "telephone_number": "703-836-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N WASHINGTON STREET",
            "address_2": "SUITE 707",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142530",
            "telephone_number": "703-399-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "DAVID",
        "middle_name": "T.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904-000917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.