Virginia K Cailleteau Licsw Dba Evenstar Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VIRGINIA K CAILLETEAU LICSW DBA EVENSTAR COUNSELING

Practice address

1204 4TH Ave E
Olympia, WA 98506-4277

Phone

(253) 257-9137

Fax

(360) 785-2545

NPI assigned

Jan 22, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Virginia K Cailleteau, LICSWNPI 1952642084

Title

Owner

Phone

(253) 257-9137

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Virginia Kathleen Cailleteau, LICSW

  • Clinical Social Worker
  • Olympia, WA
  • NPI 1952642084
  NPD Authorized official

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1922638501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 LACEY BLVD SE UNIT 3655",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985094033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 4TH AVE E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064277",
            "telephone_number": "253-257-9137",
            "fax_number": "360-785-2545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26812 118th Ave E",
            "address_purpose": "LOCATION",
            "city": "Graham",
            "state": "WA",
            "postal_code": "98338",
            "country_code": "US",
            "telephone_number": "360-339-6084",
            "fax_number": "360-785-2545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 22nd Ave SW Ste 8",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985012871",
            "country_code": "US",
            "telephone_number": "253-257-9137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2024 Caton Way SW Ste 103",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985021119",
            "country_code": "US",
            "telephone_number": "253-257-9137",
            "fax_number": "360-785-2545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIRGINIA K CAILLETEAU LICSW DBA EVENSTAR COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "CAILLETEAU",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-257-9137",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LICENSING",
            "identifier": "LW60836768",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor H. Nguyen DDS PS
• Eugene Daniel Villacian, ARNP
• Nicole L Vincent
• Richelle Cristie Vining-Gonzalez
• Chandni Kaur Virdi, ARNP
• Virginia R Cannon MD PLLC
• Cathy Visser, RD
• Vista Oncology Inc PS
• Vista Oncology Inc PS
• Vista Oncology Inc PS

• Clinical Social Worker in Olympia, WA
• Providers in Olympia, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.