Healthcare Provider Details

I. General information

NPI: 1326205121
Provider Name (Legal Business Name): PATRICIA CAROLYN MCLAIN VAN ALSTYNE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA CAROLYN GILBAUGH PHD, LISW

II. Dates (important events)

Enumeration Date: 05/20/2008
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 33RD AVE SW STE J
CEDAR RAPIDS IA
52404-4646
US

IV. Provider business mailing address

260 33RD AVE SW STE J
CEDAR RAPIDS IA
52404-4646
US

V. Phone/Fax

Practice location:
  • Phone: 319-361-6529
  • Fax: 319-343-1059
Mailing address:
  • Phone: 319-361-6529
  • Fax: 319-343-1059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11638-123
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number06342
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: