# TIFFANY M KAVANAUGH LCSW LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558524660
- **Authorized official:** TIFFANY M KAVANAUGH LCSW (SOLE MEMBER/MANAGER)
- **Authorized official phone:** (025) 404-9534

## Contact information

- **Practice address:** 3901 FAULKNER DR, LINCOLN, NE 68516-4738
- **Practice address phone:** (402) 489-2218
- **Mailing address:** 3901 FAULKNER DR, LINCOLN, NE 68516-4738
- **Mailing address phone:** (402) 875-9270
- **Mailing address fax:** (402) 875-9272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 424 | NE | Yes |

## Other

- **Enumeration date:** 07/08/2008
- **Last updated:** 01/16/2026