Active NPI
Roxanne Cavataio, LCSW, PLLC
- Clinical Social Worker
- Gulfport, MS
National Provider Identifier
1689139016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- ROXANNE CAVATAIO, LCSW, PLLC
- Practice address
- 1403 43Rd Ave
Gulfport, MS 39501-2545 - Phone
- (228) 861-5260
- Fax
- (228) 241-0326
- NPI assigned
- Feb 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roxanne Cavataio, LCSW
- Title
- Owner
- Phone
- (228) 216-7353
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1403 43Rd Ave
Gulfport, MS 39501-2545
Mailing address
PO Box 4456
Bay St Louis, MS 39521-4456
Phone (228) 861-5260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1403 43rd Ave
Gulfport, MS 39501
Phone (228) 861-5260
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Gulfport, MS
- NPI 1285733329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549843200000",
"number": "1689139016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4456",
"city": "BAY ST LOUIS",
"state": "MS",
"postal_code": "395214456",
"telephone_number": "228-861-5260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1403 43RD AVE",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012545",
"telephone_number": "228-861-5260",
"fax_number": "228-241-0326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROXANNE CAVATAIO, LCSW, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-11",
"last_updated": "2019-02-11",
"status": "A",
"authorized_official_last_name": "CAVATAIO",
"authorized_official_first_name": "ROXANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "228-216-7353",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.