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KATELYN VANDEVER ASW #120967
NPI 1841041027
Social Worker - Clinical in San Rafael, CA

Active since March 27, 2024
822 D ST, SAN RAFAEL, CA 94901(917) 526-1913 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Katelyn Vandever Asw #120967 NPPES

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

KATELYN VANDEVER ASW #120967 (NPI 1841041027) is an individual clinical provider in San Rafael, California, licensed in California (120967) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1841041027
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATELYN VANDEVERCredential: ASW #120967
Location Address822 D STSan Rafael, CA 94901-2814
Mailing Address72 Oak Knoll AveSan Anselmo, CA 94960-1868 · (917) 526-1913
Phone(917) 526-1913
Sole ProprietorNo
Enumeration DateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1841041027 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 · 120967
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.
822 D ST, San Rafael, CA 94901
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Other Providers at the Same Location NPPES 3

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

LUCY O'DWYER
Marriage & Family Therapist
822 D ST
SAN RAFAEL, CA 94901
Marin County (510) 527-1918
MOLLY SCHMIDT
Marriage & Family Therapist
822 D ST
SAN RAFAEL, CA 94901
Marin County (415) 891-0298
BIG LIFE CHANGE THERAPY
Counselor
822 D ST
SAN RAFAEL, CA 94901
Marin County (510) 831-3502

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 Katelyn Vandever's NPI number?

The NPI number for Katelyn Vandever is 1841041027. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Katelyn Vandever located?

Katelyn Vandever practices at 822 D St, San Rafael, CA 94901. The listed phone number is (917) 526-1913.

What is Katelyn Vandever'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 Katelyn Vandever was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.