Individual provider · Type 1 NPI

Kenneth John Nydam, LMSW

Clinical Social Worker · Cadillac, MI

NPI number 1194990614 Active

Practice location

5839 Hope Way
Cadillac, MI 49601-7085

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1194990614

Kenneth John Nydam, LMSW's National Provider Identifier is 1194990614, issued on Apr 25, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cadillac, MI. The record was last updated on Jan 22, 2013.