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KATHLEEN VAN WIE LCSW INC NPI 1174765630


NPI Information

NPI: 1174765630
Provider Name: KATHLEEN VAN WIE LCSW, INC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
775 SUNRISE AVE STE 120
ROSEVILLE, CA
ZIP 95661
Phone: (916) 786-3740
Get Directions

KATHLEEN VAN WIE LCSW, INC is a clinical social worker in Roseville, CA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. KATHLEEN VAN WIE LCSW, INC NPI is 1174765630. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

775 SUNRISE AVE STE 120
ROSEVILLE, CA
ZIP 95661-527
Phone: (916) 786-3740
Fax: (916) 773-0965

The provider's authorized official is Kathleen Van Wie .
The authorized official title is Director and has the following contact phone number (916) 786-3740.

The enumeration date for this NPI number is 3/30/2009 and was last updated on 3/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalLB009283CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MMM00063M CAMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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