Provider Demographics
NPI:1730288473
Name:VAN STRIEN, CAROLEE PATRICIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROLEE
Middle Name:PATRICIA
Last Name:VAN STRIEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CAROLEE
Other - Middle Name:PATRICIA
Other - Last Name:DARDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:95-1180 MAKAIKAI STREET, #74
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789
Mailing Address - Country:US
Mailing Address - Phone:949-633-2281
Mailing Address - Fax:949-830-5530
Practice Address - Street 1:95-1180 MAKAIKAI STREET, #74
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789
Practice Address - Country:US
Practice Address - Phone:949-633-2281
Practice Address - Fax:949-830-5530
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 229741041C0700X
HILCSW37851041C0700X
CALCS229741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical