Provider Demographics
NPI:1073387189
Name:CAHILL, KADY
Entity Type:Individual
Prefix:
First Name:KADY
Middle Name:
Last Name:CAHILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10000 BAY PINES BLVD
Mailing Address - Street 2:MAILING CODE 122
Mailing Address - City:BAY PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33744-1333
Mailing Address - Country:US
Mailing Address - Phone:727-666-4064
Mailing Address - Fax:
Practice Address - Street 1:10000 BAY PINES BLVD
Practice Address - Street 2:MAILING CODE 122
Practice Address - City:BAY PINES
Practice Address - State:FL
Practice Address - Zip Code:33744-1333
Practice Address - Country:US
Practice Address - Phone:727-666-4064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-09
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW18924104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker