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

Mrs. Caitlin Van Clark, LCSW

Individual provider Clinical Social Worker · NPI 1639703887

Mrs. Caitlin Van Clark, LCSW is a Clinical Social Worker in Roseburg, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2020
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

621 W Madrone St
Roseburg, OR 97470-3090
Phone: (541) 672-2691
Show map & directions

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

Additional practice locations (1)

  • 568 Ethan Ct, Springfield, OR 97477-9407 — (541) 503-8925

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L11752 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence 21-QMHP-R-0533 (OR)

Record details

NPI number1639703887
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 26, 2020
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026

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