Individual provider · Type 1 NPI

Samantha Rose Kavanagh, Licsw

Clinical Social Worker · Riverside, RI

NPI number 1033974399 Active

Practice location

501 Wampanoag Trl Unit 400
Riverside, RI 02915-1507

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW04045 (RI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1033974399

Samantha Rose Kavanagh, Licsw's National Provider Identifier is 1033974399, issued on Feb 15, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Riverside, RI. The record was last updated on Aug 29, 2024.