Active NPI
Timothy Carl Vandyke, LMSW
- Social Worker
- Fort Smith, AR
National Provider Identifier
1013801554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- PLMSW
- Practice address
- 909 S 20TH St
Fort Smith, AR 72901-4815 - Phone
- (479) 407-4638
- NPI assigned
- Jun 9, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | PLMSW | AR | Primary |
Addresses
Primary practice location
909 S 20TH St
Fort Smith, AR 72901-4815
Mailing address
2018 S O St
Fort Smith, AR 72901-5652
Phone (479) 407-4638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1013801554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2018 S O ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729015652",
"telephone_number": "479-407-4638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 S 20TH ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729014815",
"telephone_number": "479-407-4638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDYKE",
"first_name": "TIMOTHY",
"middle_name": "CARL",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-09",
"last_updated": "2025-06-09",
"certification_date": "2025-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "PLMSW",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.