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KATHLEEN VAN WIE LCSW, INC
NPI 1174765630
Social Worker - Clinical in Roseville, CA

Active since March 30, 2009
775 SUNRISE AVE STE 120, ROSEVILLE, CA 95661(916) 786-3740(916) 773-0965 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Van Wie Lcsw, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN VAN WIE LCSW, INC (NPI 1174765630) is a healthcare organization registered as a clinical in Roseville, California and active in the NPI registry since March 2009. The organization lists Kathleen Van Wie, Director, as its authorized official.

NPPES Registry Identity

NPI1174765630
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKATHLEEN VAN WIE LCSW, INC
Location Address775 SUNRISE AVE STE 120Roseville, CA 95661-4527
Mailing Address775 Sunrise Ave Ste 120Roseville, CA 95661-4527
Phone(916) 786-3740
Fax(916) 773-0965
Organization SubpartNo
Authorized OfficialKathleen Van WieDirector · (916) 786-3740
Enumeration DateMarch 30, 2009
✔ NPI 1174765630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LB009283
Definition
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.
775 SUNRISE AVE STE 120, Roseville, CA 95661
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Other Identifiers 1

Medicare PINMMM00063M CACA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. PATIENCE TSURUKO TABA LCSW
Social Worker (Clinical)
775 SUNRISE AVE STE 120
ROSEVILLE, CA 95661
Placer County (916) 600-2838

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Van Wie Lcsw, Inc's NPI number?

The NPI number for Kathleen Van Wie Lcsw, Inc is 1174765630. It was assigned to this organization in the NPPES registry on March 30, 2009.

Where is Kathleen Van Wie Lcsw, Inc located?

Kathleen Van Wie Lcsw, Inc is located at 775 Sunrise Ave Ste 120, Roseville, CA 95661. The listed phone number is (916) 786-3740.

What is Kathleen Van Wie Lcsw, Inc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kathleen Van Wie Lcsw, Inc was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.