Individual provider · Type 1 NPI

Caitlin Van Clark, LCSW

Clinical Social Worker · Roseburg, OR

NPI number 1639703887 Active

Practice location

621 W Madrone St
Roseburg, OR 97470-3090

Call (541) 672-2691 Map

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL11752 (OR)
Mental Health Counselor 101YM0800X21-QMHP-R-0533 (OR)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1639703887

Caitlin Van Clark, LCSW's National Provider Identifier is 1639703887, issued on Feb 26, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roseburg, OR. The record was last updated on Feb 27, 2026.