Active NPI
Teri Ann Cavanagh, LCSW
- Clinical Social Worker
- Escondido, CA
National Provider Identifier
1659466217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS9361
- Practice address
- 625 W Citracado Pkwy
Suite 102
Escondido, CA 92025-6479 - Phone
- (760) 294-9270
- Fax
- (760) 294-9268
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | LCS9361 | CA | Primary |
Addresses
Primary practice location
625 W Citracado Pkwy
Suite 102
Escondido, CA 92025-6479
Mailing address
625 W Citracado Pkwy
Suite 102
Escondido, CA 92025-6479
Phone (760) 294-9270
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 |
|---|---|---|---|
| LCS9361 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1659466217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 W CITRACADO PKWY",
"address_2": "SUITE 102",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920256479",
"telephone_number": "760-294-9270",
"fax_number": "760-294-9268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 W CITRACADO PKWY",
"address_2": "SUITE 102",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920256479",
"telephone_number": "760-294-9270",
"fax_number": "760-294-9268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVANAGH",
"first_name": "TERI",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS9361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
- Veronica Catalan
- Rosalynn A Catalogo, CMT, HHP
- Katie Cathcart, LVN
- Alicia Michelle Caton
- Stefani Marie Catour
- Brooke Ann Cavecche
- Christian G. Cazares
- Angelica Centeno-Shreder, MA, CCC-SLP, SLPC
- Centro de Salud de la Comunidad de San Ysidro, Inc. (San Ysidro Health Escondido Family Medicine)
- Centro Medico del Carmen, a Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.