Caitlin Marie Van Wormer, AMFT; APCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFTI 95030 Issued in CA

Practice address

401 W Civic Center Dr
Santa Ana, CA 92701-4515

Phone

(714) 480-6767

NPI assigned

Feb 15, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1538608179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 28424",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928092233",
            "telephone_number": "714-850-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W CIVIC CENTER DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014515",
            "telephone_number": "714-480-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WORMER",
        "first_name": "CAITLIN",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "AMFT; APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFTI 95030",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "PCCI 3250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Van Cao 1, Inc (E-Z Care Pharmacy)
• James Jaying Van Der Heyden, P.A.
• Vanessa Fiallos Van Der Linden, MS
• Mindy Van Neck
• Lyle Van Scyoc
• Denise Van Wormer, CADC II
• Thuy-Lan Thi Van, PHARMD
• Rebecca Vance-Freeland
• Jennifer Vancleave, D.C., L.AC
• James Vandervest

• Marriage & Family Therapist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.