Organization
TIFFANY M KAVANAUGH LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY M KAVANAUGH LCSW (SOLE MEMBER/MANAGER)
(025) 404-9534
Entity
Organization
Contact information
Practice address
3901 FAULKNER DR, LINCOLN, NE 68516-4738
(402) 489-2218
Mailing address
3901 FAULKNER DR, LINCOLN, NE 68516-4738
(402) 875-9270
(402) 875-9272
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
424
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124102827
INDIVIDUAL NPI
NE
Enumeration date
07/08/2008
Last updated
01/16/2026
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