Dale F Vandyke, LCSW is a
Social Worker - Clinical based in Greenfield, Wisconsin. Dale F Vandyke is licensed to practice in Wisconsin (license number 2154-123) and his current practice location is
4848 S 76th St, Suite 201, Greenfield, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(414) 325-7741.
NPI number for Dale F Vandyke is 1487703625 and his current mailing address is 4848 S 76th St, Suite 201, Greenfield, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487703625.
Healthcare Provider's Profile
| Full Name | Dale F Vandyke |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 4848 S 76th St, Greenfield, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487703625
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dale F Vandyke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487703625 | NPI | - | NPPES |
| 39585200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12701 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 2154-123 (Wisconsin) | 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. Dale F Vandyke 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 Address | Practice Location Address |
|---|
Dale F Vandyke, LCSW
4848 S 76th St, Suite 201,
Greenfield, WI 53220-4361
Ph: (414) 325-7741 | Dale F Vandyke, LCSW
4848 S 76th St, Suite 201,
Greenfield, WI 53220-4361
Ph: (414) 325-7741 |
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