Individual provider · Type 1 NPI

Jacqueline Anne Cavallaro, LCSW

Clinical Social Worker · Fresno, CA

NPI number 1720174204 Active

Practice location

1616 W Shaw Ave Ste D1
Fresno, CA 93711-3513

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	LCS22067 (CA)
School Counselor	101YS0200X	None listed
Clinical Social Worker Primary	1041C0700X	LCS 22067 (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 1720174204

Jacqueline Anne Cavallaro, LCSW's National Provider Identifier is 1720174204, issued on Oct 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fresno, CA. The record was last updated on Apr 21, 2026.