Kathleen Van Wie LCSW, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LB009283 Issued in CA

Legal business name

KATHLEEN VAN WIE LCSW, INC

Practice address

775 Sunrise Ave Ste 120
Roseville, CA 95661-4527

Phone

(916) 786-3740

Fax

(916) 773-0965

NPI assigned

Mar 30, 2009

Last updated

Mar 30, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathleen Van Wie, LCSW

Title

Director

Phone

(916) 786-3740

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marvin B Berman, PHD

  • Psychologist
  • Roseville, CA
  • NPI 1104999556
  NPD (past)
• Patience Tsuruko Taba, LCSW

  • Clinical Social Worker
  • Roseville, CA
  • NPI 1023136223
  NPD (past)
• Marilyn C Yeates

  • Clinical Social Worker
  • Roseville, CA
  • NPI 1053481283
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1174765630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 SUNRISE AVE STE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SUNRISE AVE STE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614527",
            "telephone_number": "916-786-3740",
            "fax_number": "916-773-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN VAN WIE LCSW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "VAN WIE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "916-786-3740",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LB009283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abraham Karimi, DO
• Amani Kariuki
• Daniel Kariuki
• Irosha Karki
• Talitha Katches, PA
• Keith W. Katsura, DO
• Yvonne Katsuyama, , M.S., CCC-SLP
• Arielle Lindsay Katz
• Deborah L. Katz, MD
• Amritpal Kaur

• Clinical Social Worker in Roseville, CA
• Providers in Roseville, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.