Individual provider · Type 1 NPI

Mark Anthony Van Dyke, LCSW

Clinical Social Worker · Tucson, AZ

NPI number 1508958067 Active

Practice location

2250 N Craycroft Rd, Suite 250
Tucson, AZ 85712-2802

Fax (520) 546-4494

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-3537 (AZ)

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 1508958067

Mark Anthony Van Dyke, LCSW's National Provider Identifier is 1508958067, issued on Sep 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tucson, AZ. The record was last updated on Jul 8, 2007.