Michael Vandekreke, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149009506 Issued in IL

Practice address

3923 Mercy Drive
Suite F
McHenry, IL 60050-3173

Phone

(815) 344-5061

Fax

(815) 344-5072

NPI assigned

Mar 17, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Lodestone Center for Behavioral Health, PC

  • Psychologist
  • Woodstock, IL
  • NPI 1619448222

  Clinical

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1043671027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 MERCY DR",
            "address_2": "SUITE F",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600503173",
            "telephone_number": "815-344-5061",
            "fax_number": "815-344-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 MERCY DRIVE",
            "address_2": "SUITE F",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600503173",
            "telephone_number": "815-344-5061",
            "fax_number": "815-344-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEKREKE",
        "first_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Benito Talusan Valdepenas IV
• Brittany Valentine
• Crystal Lynn Valley, DSP
• Pamela Van Fleet
• Diane Van Ham, SLP
• Natasha Marie Vanderlinden, DPT
• Dara Vanick
• Vinalee June Vann
• Elke Vansteen
• Jennifer Vasquez, DSP

• Clinical Social Worker in McHenry, IL
• Providers in McHenry, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.