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

Katelyn Vandever, ASW120967

Individual provider Clinical Social Worker · NPI 1841041027

Katelyn Vandever, ASW120967 is a Clinical Social Worker in San Rafael, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

822 D St
San Rafael, CA 94901-2814
Phone: (917) 526-1913
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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 120967 (CA)

Record details

NPI number1841041027
Entity typeIndividual (Type 1)
GenderFemale
Credentials ASW120967
Sole proprietorNo
NPI enumeratedMarch 27, 2024
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024

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