Crista Mary Cavicchio, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

213669 Issued in MA

Practice address

366 Somerville Ave
Somerville, MA 02143-2919

Phone

(617) 628-8815

NPI assigned

May 12, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1720255565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 NEWBURY ST # 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442442",
            "telephone_number": "617-823-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 SOMERVILLE AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021432919",
            "telephone_number": "617-628-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVICCHIO",
        "first_name": "CRISTA",
        "middle_name": "MARY",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "213669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "213669",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Castillo, DMD
• Ekaterina S. Castro, MSW, LICSW
• Julie Anne Catalano, LICSW
• Cataldo Ambulance Service Inc
• Elaine Catalogna, RN
• Cedar Street Collaborative
• Centerimt Boston
• Priscilla Cerdas, MA, R-DMT
• Logan Chaet, DPT
• Stephanie Scott Chamberlain, LICSW

• Clinical Social Worker in Somerville, MA
• Providers in Somerville, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.