Ann Vandyk, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34004775A Issued in IN

Practice address

606 Wall St
Valparaiso, IN 46383-2513

Phone

(219) 464-3612

NPI assigned

Apr 25, 2008

Last updated

Aug 9, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Catholic Charities

  • Community/Behavioral Health Agency
  • Michigan City, IN
  • NPI 1275795262
  NPD (past)

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1467627869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 ROBB ST",
            "address_2": "STE 201",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332162",
            "telephone_number": "888-948-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 WALL ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832513",
            "telephone_number": "219-464-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDYK",
        "first_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004775A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PO20008531F",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raghu Chakravarthy Vanama
• J Todd Vanbuskirk
• Britt Noelle Vanda, FNP
• Sydney Vander Tuin
• Kaytlynn Vanderlinde
• Kara Vanhimbergen
• Anusha Vasamsetti
• Michelle R Vasquez, NP
• Nihar Prafullchandra Vavaliya, MD
• Maureen Olivia Vear

• Clinical Social Worker in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.