Provider Demographics
NPI:1821630591
Name:MCCAULEY, DAWN (LMSW)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:MCCAULEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10048 BAPTIST CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63123-4968
Mailing Address - Country:US
Mailing Address - Phone:254-715-5700
Mailing Address - Fax:
Practice Address - Street 1:10048 BAPTIST CHURCH RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63123-4968
Practice Address - Country:US
Practice Address - Phone:254-715-5700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-14
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20190361831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical