Healthcare Provider Details

I. General information

NPI: 1407768153
Provider Name (Legal Business Name): MADELYN D MCCAULEY LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MADELYN D TOLBERT

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 W 7TH AVE STE 222
STILLWATER OK
74074-4050
US

IV. Provider business mailing address

900 E LAHARPE ST
KIRKSVILLE MO
63501-4520
US

V. Phone/Fax

Practice location:
  • Phone: 918-225-0540
  • Fax: 918-225-0536
Mailing address:
  • Phone: 417-761-5214
  • Fax: 417-761-5065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number22801
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: