Jacqueline Anne Cavallaro, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 22067 Issued in CA

Practice address

1616 W Shaw Ave Ste D1
Fresno, CA 93711-3513

Phone

(559) 917-4997

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Jacqueline Anne Cavallaro Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1720174204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 W SHAW AVE STE D1",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113513",
            "telephone_number": "559-917-4997",
            "fax_number": "559-573-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 W SHAW AVE STE D1",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113513",
            "telephone_number": "559-917-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLARO",
        "first_name": "JACQUELINE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS22067",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 22067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "CAVALLARO",
            "middle_name": "ANNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andie Catuiza
• Vanessa Catzalco, RPH
• Mitchell Caudillo
• Jaden Caudle
• David James Cavagnaro, M.D.
• Jennifer Ray Cavanaugh, BCAT, RBT
• Jason Alan Cavataio
• Audrey Cavazos, AMFT
• Jonathan S Cavazos
• Mercedes Cavazos

• Clinical Social Worker in Fresno, CA
• Providers in Fresno, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.