MEDICARE: DANIELLE CAULEY LPC, CSAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701006305	VA
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	0710102862	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063881225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE CAULEY LPC, CSAC

Provider Business Mailing Address
First Line	:	1162 PROFESSIONAL DR STE 201
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-3330
Country	:	US
Telephone Number	:	757-209-2062
Fax Number	:

Provider Business Practice Location Address
First Line	:	1162 PROFESSIONAL DR STE 201
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-3330
Country	:	US
Telephone Number	:	757-209-2062
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2015
Last Update Date	:	05/11/2026

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