Kenneth John Nydam, LMSW - Clinical Social Worker in Cadillac, MI

Kenneth John Nydam, LMSW is a Social Worker - Clinical based in Cadillac, Michigan. Kenneth John Nydam is licensed to practice in * (Not Available) (license number ) and his current practice location is 5839 Hope Way, Cadillac, Michigan. He can be reached at his office (for appointments etc.) via phone at (231) 942-8455.

NPI number for Kenneth John Nydam is 1194990614 and his current mailing address is 5839 Hope Way, Cadillac, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194990614.

Contact Information

Kenneth John Nydam, LMSW
5839 Hope Way,
Cadillac, MI 49601-7085
(231) 942-8455
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKenneth John Nydam
GenderMale
SpecialitySocial Worker - Clinical
Location5839 Hope Way, Cadillac, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194990614
  • Provider Enumeration Date: 04/25/2008
  • Last Update Date: 01/22/2013

Medical Identifiers

Medical identifiers for Kenneth John Nydam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194990614NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth John Nydam is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth John Nydam, LMSW
5839 Hope Way,
Cadillac, MI 49601-7085

Ph: (231) 942-8455
Kenneth John Nydam, LMSW
5839 Hope Way,
Cadillac, MI 49601-7085

Ph: (231) 942-8455

Reviews and Comments


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