Katie Anne Van Leeuwen, MSW, LICSW
Individual provider Active NPI Clinical Social Worker · Barnstable, MA
NPI 1700932183 · NPPES record last updated Feb 26, 2016
Key facts
- NPI
- 1700932183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 116412 (MA)
- Practice address
- 3195 Main Street
Barnstable, MA 02630 - Phone
- (508) 362-8606
- Fax
- (508) 362-0046
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 992321 | CO | MD | Mental Health Counselor |
| 116412 | MA | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 992321 | CO | |
| Clinical Social Worker | 1041C0700X | 116412 | MA | Yes |
Addresses
Primary practice location
3195 Main Street
Barnstable, MA 02630
Mailing address
3195 Main Street, P.O. Box 427
Barnstable, MA 02630
Phone (508) 362-8606
Other providers in Barnstable, MA
- Denise Egan Stack
- Rosebelle Tenaglia
- Kristine Joy Thoresen
- Tiara a Slaughter, PHD, PC
- Lauren Tyson
- Vanguard Mental Health
- Wildflower Intuitive Counseling LLC
All providers in Barnstable, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.