Lindsay Sophia Van Daele, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851119070 Issued in MI

Practice address

231 State St Ste 3
Petoskey, MI 49770-2785

Phone

(231) 881-2149

NPI assigned

Jun 17, 2025

Sex

Female

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)

Not enrolled

State licenses

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.

• Sisu Wellness and Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Petoskey, MI
  • NPI 1275130817
  NPD

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1407742356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4739 WHITE WOLF TRL",
            "city": "ALANSON",
            "state": "MI",
            "postal_code": "497069815",
            "telephone_number": "231-373-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 STATE ST STE 3",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702785",
            "telephone_number": "231-881-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DAELE",
        "first_name": "LINDSAY",
        "middle_name": "SOPHIA",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851119070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Louise Tyndall, RN
• Up North Family Counseling, LLC
• Up North Wellness and Massage LLC
• Adam Utley, PHARM.D.
• Mason Sylar Valor, PHD, LPC, CAADC
• Theresa Van Fleet
• Craig Theodore Van Woudenberg, DC
• Bradley T Vanassche, MD
• Hannah Sue Vandenboom
• Philip Daniel Vanderkooy, DO

• Clinical Social Worker in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.