Catherine L Vaneycke, LCSW, CADC, CDVP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.013391 Issued in IL

Practice address

514 Market Loop
Suite 104
West Dundee, IL 60118-2148

Phone

(630) 400-2506

NPI assigned

Jun 12, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Kate Van Eycke Other name

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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1962639310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 FARNHAM CT",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335305",
            "telephone_number": "630-400-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 MARKET LOOP",
            "address_2": "SUITE 104",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182148",
            "telephone_number": "630-400-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEYCKE",
        "first_name": "CATHERINE",
        "middle_name": "L",
        "credential": "LCSW, CADC, CDVP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "2002 073",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "13338",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "VAN EYCKE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thomas M Troutman, OD
• Zero Elizabeth Tucker
• Daniela Valenzuela
• Deepa Vallikat, APN
• Joshua D Vandorin, PT, DPT
• Brian Scott Vence, DDS
• Village of West Dundee
• Visionworks, Inc
• Colleen Mary Vogt, PHARMD
• Erin C Vogt, LCSW, ACSW, CCN

• Clinical Social Worker in West Dundee, IL
• Providers in West Dundee, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.