Nancy Dykstra-Powers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00273700 Issued in NJ

Practice address

71 Franklin Tpke Ste 4
Waldwick, NJ 07463-1851

Phone

(201) 321-5610

Fax

(972) 423-9379

NPI assigned

Aug 23, 2013

Last updated

Aug 22, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 15, 2020 through Mar 15, 2028

Medicare enrollment (NPD)

Not 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.

• Bethany Christian Services

  • Clinical Social Worker
  • Fair Lawn, NJ
  • NPI 1346675378
  NPD (past) Authorized official

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1609200914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 FRANKLIN TPKE STE 4",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631851",
            "telephone_number": "201-321-5610",
            "fax_number": "973-423-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 FRANKLIN TPKE STE 4",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631851",
            "telephone_number": "201-321-5610",
            "fax_number": "972-423-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKSTRA-POWERS",
        "first_name": "NANCY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00273700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribel Diprimo, R.PH
• Deanna Doctor, ND
• Ellen R Dolce, MSW
• Mackenzie Payton Donnelly, LCSW
• Beverly Andreana Dunn, MD PHD
• Margaret Ann Dziezanowski, MD
• Andrew Eades
• Eastern Christian Children's Retreat
• Kimberly Ellsworth, PT, DPT
• Hala M Elostaz, R.PH

• Clinical Social Worker in Waldwick, NJ
• Providers in Waldwick, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.