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General NPI Number Information
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NPI Number | 1346341799
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Entity Type | Individual
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Provider Name | MARY K. CAUDY LCSW, LMHP
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Gender | Female
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2300 S 16TH ST
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City | LINCOLN
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State | NE
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Zip | 68502-3704
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Country | US
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Telephone | 402-481-5700
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Fax | 402-481-9261
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Provider Business Mailing Address
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Address Line | 6100 ROLLING HILLS BLVD
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City | LINCOLN
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State | NE
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Zip | 68512-1853
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Country | US
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Telephone | 402-423-4551
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 782
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 200
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License Number State | NE
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