THERESE M. CAVANAUGH (CSW) – Clinical Social Worker, NPI 1063506996

THERESE M. CAVANAUGH (CSW) is a healthcare provider. based in Malvern, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials CSW. They hold a License No. CW013878 (PA). The NPI Number for THERESE M. CAVANAUGH (CSW) is 1063506996

Main info

Female
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
THERESE M. CAVANAUGH (CSW)
NPI
1063506996
Phone
(610) 296-5070
Address
5 MYSTIC LN
Enumeration Date
3 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6102965070
Graduation Year
1991 (35 years ago)
PAC ID
2163490731
Professional Enrollment ID
I20040921001039
Address ID
PA193551942MA18XXXLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,438 CLINICAL SOCIAL WORKER in PA

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Provider Addresses for THERESE M. CAVANAUGH (CSW)

  • 5, Mystic Lane, Planebrook, Malvern, Chester County, Pennsylvania, 19355, United States

    MALVERN, PA 193551942

    Phone: (610) 296-5070

    Fax: (610) 296-5070

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-09-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040921001039IClinical Social WorkerPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19355)

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Reviews

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Frequently asked questions

Can I cross-check THERESE M. CAVANAUGH (CSW) using NPI 1063506996?
NPI 1063506996 belongs to THERESE M. CAVANAUGH (CSW); compare other details if you need extra assurance.
Is THERESE M. CAVANAUGH (CSW) still an active registrant?
THERESE M. CAVANAUGH (CSW) carries an active NPI according to the public dataset.
What expertise is attributed to THERESE M. CAVANAUGH (CSW)?
THERESE M. CAVANAUGH (CSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for THERESE M. CAVANAUGH (CSW)?
Travel planning: use Malvern, Pennsylvania as the reference point for THERESE M. CAVANAUGH (CSW), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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