MEDICARE: JULIE B. MCCAUSLAND LMSW

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	104100000X	Social Worker
2	104100000X	Social Worker	8535	KS

General Provider Information

NPI Number	:	1265293898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE B. MCCAUSLAND LMSW

Provider Business Mailing Address
First Line	:	1110 N GATEWOOD CT
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67206-4053
Country	:	US
Telephone Number	:	316-644-6146
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 N GATEWOOD CT
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67206-4053
Country	:	US
Telephone Number	:	316-644-6146
Fax Number	:

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

Provider Enumeration Date	:	01/22/2024
Last Update Date	:	01/22/2024

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