Individual provider · Type 1 NPI

Nathan Van Dyke

Clinical Social Worker · Salt Lake City, UT

NPI number 1154704716 Active

Practice location

1425 S 700 E Ste 102
Salt Lake City, UT 84105-2125

Call (801) 448-7577 Map

Mailing address

433 W 2nd Ave
Midvale, UT 84047-7307

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9148081-3501 (UT)
Addiction (Substance Use Disorder) Counselor 101YA0400X9148081-6006 (UT)

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 1154704716

Nathan Van Dyke's National Provider Identifier is 1154704716, issued on Jul 1, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Jan 29, 2026.