Individual provider · Type 1 NPI

Kristina Vandyke, LICSW

Clinical Social Worker · Eagan, MN

NPI number 1245657816 Active

Practice location

1110 Yankee Doodle Rd
Eagan, MN 55121-2092

Call (651) 454-3970 Map

Fax (651) 241-0059

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X21099 (MN)

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 1245657816

Kristina Vandyke, LICSW's National Provider Identifier is 1245657816, issued on Mar 21, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eagan, MN. The record was last updated on Jan 5, 2023.