Individual
DREW CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
445 N 111TH WAY, MESA, AZ 85207-2208
(860) 510-3550
Mailing address
1533 EUTERPE ST, NEW ORLEANS, LA 70130-4450
(860) 510-3550
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
13585
LA
1041C0700X
Clinical Social Worker
Primary
21792
AZ
171M00000X
Case Manager/Care Coordinator
13585
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-21792
ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
Enumeration date
10/09/2015
Last updated
09/28/2023
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