Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Van Wie LCSW, Inc

Organization Clinical Social Worker · NPI 1174765630

Kathleen Van Wie LCSW, Inc is a Clinical Social Worker 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
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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