Provider Demographics
NPI:1295498145
Name:MCCAVITT, DEBORAH NEILL (LCSW)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:NEILL
Last Name:MCCAVITT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:553 10TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-4401
Mailing Address - Country:US
Mailing Address - Phone:164-672-4134
Mailing Address - Fax:
Practice Address - Street 1:553 10TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-4401
Practice Address - Country:US
Practice Address - Phone:646-724-1344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT105631041C0700X
NY0588251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical