Individual provider · Type 1 NPI

Keith Vandyke, LMSW

Clinical Social Worker · Muskegon, MI

NPI number 1316045255 Active

Practice location

125 E Southern Ave
Muskegon, MI 49442-5041

Fax (231) 724-3659

Mailing address

376 E Apple Ave
Muskegon, MI 49442-3466

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801035950 (MI)

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 1316045255

Keith Vandyke, LMSW's National Provider Identifier is 1316045255, issued on Sep 21, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Muskegon, MI. The record was last updated on Apr 8, 2009.