Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Jacqueline Anne Cavallaro, LCSW

Individual provider Mental Health Counselor · NPI 1720174204

MS. Jacqueline Anne Cavallaro, LCSW is a Mental Health Counselor in Fresno, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1616 W Shaw Ave Ste D1
Fresno, CA 93711-3513
Phone: (559) 917-4997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS 22067 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence LCS22067 (CA)
School Counselor Taxonomy 101YS0200X (CA)

Record details

NPI number1720174204
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 4, 2006
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

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