Provider Demographics
NPI:1326251117
Name:DALY-MCGREW, CAVAN A (MSW)
Entity Type:Individual
Prefix:MS
First Name:CAVAN
Middle Name:A
Last Name:DALY-MCGREW
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 SOUTHSIDE RD
Mailing Address - Street 2:
Mailing Address - City:MANITOU SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80829-2144
Mailing Address - Country:US
Mailing Address - Phone:719-460-8300
Mailing Address - Fax:
Practice Address - Street 1:601 SOUTHSIDE RD
Practice Address - Street 2:
Practice Address - City:MANITOU SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80829-2144
Practice Address - Country:US
Practice Address - Phone:719-460-8300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9790061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical