| Doctor Name: | MARY BERNADETTE MCCAULEY |
| NPI Number: | 1003882085 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS LICSW |
| License Number: | 7940 |
| Business Practice Address: | 2701 University Ave Se Mail Stop 32100a Minneapolis, MN - 554143233 |
| Business Phone Number: | 6126273500 |
| Business Fax Number: | 6126273535 |
| Mailing Address: | 8100 34th Ave S, Mail Stop 21110q BLOOMINGTON |
| State: | MN |
| Postal Code: | 554251672 |
| Phone Number: | 9528835463 |
| Fax Number: | 9528835395 |
| NPI Enumeration Date: | 02/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 7940 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |