Healthcare Provider Details

I. General information

NPI: 1780591925
Provider Name (Legal Business Name): BROOKE ANN CAVECCHE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

906 N ROSE ST
ESCONDIDO CA
92027-1626
US

IV. Provider business mailing address

225 S DITMAR ST APT J
OCEANSIDE CA
92054-3153
US

V. Phone/Fax

Practice location:
  • Phone: 760-432-3495
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number250039112
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: