Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kathleen Van Wie LCSW, Inc

Organization Clinical Social Worker · NPI 1174765630

Kathleen Van Wie LCSW, Inc provides Clinical Social Worker services in Roseville, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

775 Sunrise Ave Ste 120
Roseville, CA 95661-4527 Not confirmed with CMS for 17 years — call before visiting
Phone: (916) 786-3740
Fax: (916) 773-0965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LB009283 (CA)

Record details

NPI number1174765630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Van Wie — Director · (916) 786-3740
NPI enumeratedMarch 30, 2009
Last updated in NPPESMarch 30, 2009
Mailing address775 Sunrise Ave Ste 120, Roseville, CA 95661-4527

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