Provider Demographics
NPI:1225741879
Name:MCAULEY, CASEY EVELYN (MHC-LP)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:EVELYN
Last Name:MCAULEY
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7261 113TH ST APT M12
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5608
Mailing Address - Country:US
Mailing Address - Phone:516-320-5827
Mailing Address - Fax:
Practice Address - Street 1:705 MANHATTAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-2909
Practice Address - Country:US
Practice Address - Phone:347-509-7355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-28
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP119626101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health