Kate Corrine Van Vliet, ACSW, RAD-T

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

121501 Issued in CA

Practice address

7864 Willoughby Ave
West Hollywood, CA 90046-7225

Phone

(314) 323-8229

NPI assigned

Jun 10, 2024

Last updated

Jun 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1700628914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11465 MOORPARK ST UNIT 2",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916022032",
            "telephone_number": "314-323-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7864 WILLOUGHBY AVE",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900467225",
            "telephone_number": "314-323-8229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11465 Moorpark St Unit 2",
            "address_purpose": "LOCATION",
            "city": "Studio City",
            "state": "CA",
            "postal_code": "916022032",
            "country_code": "US",
            "telephone_number": "314-323-8229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN VLIET",
        "first_name": "KATE CORRINE",
        "credential": "ACSW, RAD-T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "121501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin Yvanny Valle-Amaya, PA-C
• Luis Vallejo, M.D.
• Joseph Vallone
• Nicholas Van Bremen, LMFT
• Nicole Jamie Van Groningen, M.D.
• Chaylin Vandenburgh
• Kelsey Acuna Vander Meulen
• David Vandervelde
• Lindi H Vanderwalde, MD
• Katherine Vanhise, MD

• Clinical Social Worker in West Hollywood, CA
• Providers in West Hollywood, 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 Jun 10, 2024; 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.