Healthcare Provider Details

I. General information

NPI: 1871405282
Provider Name (Legal Business Name): KAYLA CAIVANO LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 BRICK BLVD STE 204
BRICK NJ
08723-7984
US

IV. Provider business mailing address

295 BRADFORD PL
BAYVILLE NJ
08721-2703
US

V. Phone/Fax

Practice location:
  • Phone: 732-832-3444
  • Fax:
Mailing address:
  • Phone: 201-240-1818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL06854500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: