Individual provider · Type 1 NPI

Thaly Cavanaugh

Clinical Social Worker · St. Paul, MN

NPI number 1295853877 Active

Practice location

450 Syndicate St N, #285
St. Paul, MN 55104-4107

Call (651) 647-9676 Map

Mailing address

781 Cottage Ave E
St. Paul, MN 55106-1710

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1295853877

Thaly Cavanaugh's National Provider Identifier is 1295853877, issued on Mar 26, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Paul, MN. The record was last updated on Jul 8, 2007.