IndividualActiveAccepts Medicare

Sean Kavanaugh, LICSW

NPI 1992391254 · Clinical Social Worker · Spokane, WA

Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1992391254
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LICSW
Sex: Male
Sole proprietor: Yes
License: BBH-SWLC-LIC-43230 (MT)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense LW61337945 (WA)
Behavioral Health & Social Service Providers
Social Worker104100000XLicense BBH-SWLC-LIC-43230 (MT)
Behavioral Health & Social Service Providers
Social Worker104100000XLicense CG61248749 (WA)
Behavioral Health & Social Service Providers
Social Worker104100000XLicense SC61246297 (WA)
Behavioral Health & Social Service Providers
Student in an Organized Health Care Education/Training Program390200000XLicense SC61246297 (WA)
Student, Health Care

Profile Score

Established profile(67/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
2 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

131 S Division St

Spokane, WA 99202-1510

Phone: (509) 838-4651

Street-level locationGet directions

More WA providers

Mailing address

107 S Division St