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

Village Lake LLC

Organization Clinical Social Worker · NPI 1326897067

Village Lake LLC is a Clinical Social Worker in Ks, Kansas. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

345 Riverview St #730 Wichita
Ks, KS 67203
Phone: (316) 395-2886
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3701 E Haven Dr, Derby, KS 67037-7041 — (316) 284-7730

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1326897067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anaidy Claudio Rosa — Therapist · (316) 284-7730
Other names Village Lake Counseling; Village Lake Counseling
NPI enumeratedMay 15, 2024
Last updated in NPPESAugust 1, 2026
Certification dateAugust 1, 2026
Mailing address3701 E Haven Dr, Derby, KS 67037-7041