Virginia Kathleen Cailleteau, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60836768 Issued in WA

Practice address

1204 4TH Ave E
Olympia, WA 98506-4277

Phone

(253) 257-9137

Fax

(360) 785-2545

NPI assigned

Mar 14, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Virginia K Cailleteau Other name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Virginia K Cailleteau Licsw Dba Evenstar Counseling

  • Clinical Social Worker
  • Olympia, WA
  • NPI 1922638501
  NPD Authorized official
• Northwest Resources II

  • Addiction (Substance Use Disorder) Counselor
  • Olympia, WA
  • NPI 1164586210
  Medicare reassignment
• Senior Psych Solutions Corp

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1225078629
  NPD (past)

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1952642084",
    "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",
            "telephone_number": "225-993-0787"
        },
        {
            "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",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9690 North L Street",
            "address_2": "NMCRTC, Box 339500, Mail Stop 105",
            "address_purpose": "LOCATION",
            "city": "Joint Base Lewis-McChord",
            "state": "WA",
            "postal_code": "984339500",
            "country_code": "US",
            "telephone_number": "225-993-0787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAILLETEAU",
        "first_name": "VIRGINIA",
        "middle_name": "KATHLEEN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004864",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60836768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "CAILLETEAU",
            "middle_name": "K",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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 Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.