Nancy Warren Van Dyke, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R007761 Issued in NY

Practice address

65 Main Avenue
Sea Cliff, NY 11579-1330

Phone

(516) 759-1216

Fax

(516) 674-2115

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285720706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MAIN AVENUE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791330",
            "telephone_number": "516-759-1216",
            "fax_number": "516-674-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MAIN AVENUE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791330",
            "telephone_number": "516-759-1216",
            "fax_number": "516-674-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DYKE",
        "first_name": "NANCY",
        "middle_name": "WARREN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R007761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Swett, PTA
• Susan C Thomas Lyons, LCSW
• Evelyn Thunelius-Seringer, COTA
• Kelia Tully
• Athena Vaccaro, M.S., P.T
• Pia Theresa Viana, SLP
• Judith Voelpel, MS CCC-SLP
• Ian Wall
• Marianne F Walters, PH.D.
• Jacqueline Maria Warren, LCSW, CASAC

• Clinical Social Worker in Sea Cliff, NY
• Providers in Sea Cliff, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.