Active NPI
Christine Marie Cavalier-Paul, LCSW
- Clinical Social Worker
- Port Charlotte, FL
National Provider Identifier
1982201067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW15061
- Practice address
- 4161 Tamiami TRL Ste 401
Port Charlotte, FL 33952-9254 - Phone
- (941) 235-2710
- Fax
- (941) 235-2712
- NPI assigned
- Oct 2, 2020
- Sex
- Female
- Sole proprietor
- No
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 | SW15061 | FL | Primary |
Addresses
Primary practice location
4161 Tamiami TRL Ste 401
Port Charlotte, FL 33952-9254
Mailing address
4161 Tamiami TRL Ste 401
Port Charlotte, FL 33952-9254
Phone (941) 235-2710
Other practice location 1
4161 Tamiami Trl Ste 401
Port Charlotte, FL 33952-9254
Phone (941) 235-2710 ext. 22016
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 |
|---|---|---|---|
| SW15061 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601596800000",
"number": "1982201067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4161 TAMIAMI TRL STE 401",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339529254",
"telephone_number": "941-235-2710",
"fax_number": "941-235-2712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4161 TAMIAMI TRL STE 401",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339529254",
"telephone_number": "941-235-2710",
"fax_number": "941-235-2712"
}
],
"practiceLocations": [
{
"address_1": "4161 Tamiami Trl Ste 401",
"address_purpose": "LOCATION",
"city": "Port Charlotte",
"state": "FL",
"postal_code": "339529254",
"country_code": "US",
"telephone_number": "941-235-2710 x22016",
"fax_number": "941-235-2712",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAVALIER-PAUL",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-02",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW15061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.