Healthcare Provider Details

I. General information

NPI: 1568367548
Provider Name (Legal Business Name): ALLISON CAVA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 JACKSON ST NE APT 7213
ATLANTA GA
30312-7902
US

IV. Provider business mailing address

180 JACKSON ST NE APT 7213
ATLANTA GA
30312-7902
US

V. Phone/Fax

Practice location:
  • Phone: 404-997-8757
  • Fax:
Mailing address:
  • Phone: 770-846-1397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberMSW012562
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: