Provider Demographics
NPI:1396128492
Name:CAVAN, SARAH LYNN (MSW, LMSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN
Last Name:CAVAN
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2521 BEAVER AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50310-3907
Mailing Address - Country:US
Mailing Address - Phone:515-468-5208
Mailing Address - Fax:
Practice Address - Street 1:1301 CENTER
Practice Address - Street 2:EYERLY BALL COMMUNITY MENTAL HEALTH CENTER
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309
Practice Address - Country:US
Practice Address - Phone:515-243-5181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0768861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical