Provider Demographics
NPI:1467273581
Name:CAVE, AMY CANCIENNE (LCSW)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:CANCIENNE
Last Name:CAVE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:BETH
Other - Last Name:CANCIENNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3231 KLEINERT AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-6835
Mailing Address - Country:US
Mailing Address - Phone:225-229-5522
Mailing Address - Fax:
Practice Address - Street 1:1651 THIBODEAUX AVE STE A
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-8271
Practice Address - Country:US
Practice Address - Phone:225-925-4009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA165381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical