Organization Active NPI

Cavany Therapy, PLLC

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1619758588
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CAVANY THERAPY, PLLC
Practice address
1632 Boles PL
Virginia Beach, VA 23454-5641
Phone
(804) 972-4868
NPI assigned
Oct 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Ms. Pamela G Crepps, LCSWNPI 1902057268
Title
Owner/Therapist
Phone
(704) 268-9104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1632 Boles PL
Virginia Beach, VA 23454-5641

Mailing address

2820 Selwyn Ave Ste 130-681
Charlotte, NC 28209-1785
Phone (704) 268-9104

National Provider Directory

National Provider Directory

Locations

2820 Selwyn Ave
Ste 130681
Charlotte, NC 28209

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1619758588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 SELWYN AVE STE 130-681",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282091785",
            "telephone_number": "704-268-9104",
            "fax_number": "704-705-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 BOLES PL",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545641",
            "telephone_number": "804-972-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVANY THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "CREPPS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "704-268-9104",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

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

Verify at the official NPI Registry.