Individual provider · Type 1 NPI

Candice Marie Cavanaugh, LCSW

Clinical Social Worker · Yucca Valley, CA

NPI number 1366903635 Active

Practice location

57675 29 Palms Hwy Ste 104
Yucca Valley, CA 92284-3099

Mailing address

PO Box 894
Yucca Valley, CA 92286-0894

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700X135264 (CA)

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 1366903635

Candice Marie Cavanaugh, LCSW's National Provider Identifier is 1366903635, issued on Mar 28, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Yucca Valley, CA. The record was last updated on Apr 18, 2026.