Individual
NANCY MCCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, ACSW
Contact information
Practice address
930 N 14TH ST, NEW CASTLE, IN 47362-4311
(765) 288-1928
(765) 741-0335
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000663A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11561829
CAQH PROVIDER NO
IN
01
—
2618658
UNITED PROVIDER NO
IN
01
—
265079
VALUE OPTIONS PROVIDER NO
IN
Enumeration date
11/06/2006
Last updated
09/11/2012
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