Candice Marie Cavanaugh, LCSW is a
Social Worker - Clinical based in Yucca Valley, California. Candice Marie Cavanaugh is licensed to practice in California (license number 135264) and her current practice location is
57675 29 Palms Hwy Ste 104, Yucca Valley, California. She can be reached at her office (for appointments etc.) via phone at
(760) 365-1470.
NPI number for Candice Marie Cavanaugh is 1366903635 and her current mailing address is Po Box 894, Yucca Valley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366903635.
Healthcare Provider's Profile
| Full Name | Candice Marie Cavanaugh |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 57675 29 Palms Hwy Ste 104, Yucca Valley, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366903635
- Provider Enumeration Date: 03/28/2019
- Last Update Date: 04/18/2026
Medical Identifiers
Medical identifiers for Candice Marie Cavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366903635 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 135264 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Candice Marie Cavanaugh is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Candice Marie Cavanaugh, LCSW Po Box 894, Yucca Valley, CA 92286-0894 Ph: (909) 480-6566 | Candice Marie Cavanaugh, LCSW 57675 29 Palms Hwy Ste 104, Yucca Valley, CA 92284-3099 Ph: (760) 365-1470 |
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