MEDICARE: MR. MARK STEVEN CADAVERO MSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	C003424	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780761742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARK STEVEN CADAVERO MSW, LCSW

Provider Business Mailing Address
First Line	:	PO BOX 1704
Second Line	:
City	:	MURPHY
State	:	NC
Zip	:	28906-8860
Country	:	US
Telephone Number	:	828-837-7529
Fax Number	:	828-837-8410

Provider Business Practice Location Address
First Line	:	225 VALLEY RIVER AVE STE D
Second Line	:
City	:	MURPHY
State	:	NC
Zip	:	28906-3000
Country	:	US
Telephone Number	:	828-837-7529
Fax Number	:	828-837-8410

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	05/04/2009

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