Healthcare Provider Details

I. General information

NPI: 1598943185
Provider Name (Legal Business Name): VIRGINIA ROSE KANE PSYD, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2008
Last Update Date: 04/19/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 MESSINA PL
MONTEREY CA
93940-6406
US

IV. Provider business mailing address

2100 MESSINA PL
MONTEREY CA
93940-6406
US

V. Phone/Fax

Practice location:
  • Phone: 831-238-5833
  • Fax:
Mailing address:
  • Phone: 831-238-5833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS 19967
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: