Individual provider · Type 1 NPI

Kylie Vandyke

Clinical Social Worker · Decatur, IL

NPI number 1346069432 Active

Practice location

102 W Kenwood Ave
Decatur, IL 62526-4368

Call (217) 520-1047 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.030902 (IL)

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 1346069432

Kylie Vandyke's National Provider Identifier is 1346069432, issued on Oct 7, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Decatur, IL. The record was last updated on Jan 5, 2026.