Kourtnee Jo Vandyke, LMSW
Individual provider Active NPI Clinical Social Worker · North Muskegon, MI
NPI 1689964397 · NPPES record last updated Jun 9, 2026
Key facts
- NPI
- 1689964397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801090826 (MI)
- Practice address
- 2006 Holton Rd
North Muskegon, MI 49445-1505 - Phone
- (231) 672-3333
- Fax
- (231) 672-6526
- NPI assigned
- Apr 14, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spectrum Health Primary Care Partners
Practice addresses (Care Compare)
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
4600 Breton Rd SE
102 Corewell Health Medical Group West
Grand Rapids, MI 49508-5220
Phone (616) 267-8950
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110601000461 | MI | Practitioner - Clinical Social Worker | 5395922272 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801090826 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Health Saint Mary'S Medical Group | Current |
Accepting new patients | |
| Advantage Health/Saint Mary'S Medical Group | Current |
Accepting new patients | |
| Spectrum Health Primary Care Partners | Current |
Accepting new patients | |
| Counseling Center of West Michigan, LLC | Current |
Accepting new patients | |
| Mercy Physician Network | Current |
Accepting new patients | |
| Spectrum Health Primary Care Partners | Current |
Accepting new patients | |
| Mercy Physician Network | Current |
Accepting new patients | |
| Virtuwell Therapy, LLC | Past |
Accepting new patients |
Locations
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
333 Bridge St NW
Ste 1120
Grand Rapids, MI 49504
Phone 61680536601005
233 Fulton St E
Ste 526
Grand Rapids, MI 49503
Phone (616) 426-9193
360 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49506
Phone (616) 566-1021
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
4600 Breton Rd SE
Ste 102
Kentwood, MI 49508
Phone (616) 356-4161
2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333
65 S Main St
Ste A
Rockford, MI 49341
3800 Lake Michigan Dr NW
Walker, MI 49534
Phone (616) 453-8225
1175 Wilson Ave NW
Walker, MI 49534
Phone (616) 284-3686
Interoperability endpoints
- https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801090826 | MI | |
| Clinical Social Worker | 1041C0700X | 6801090826 | MI | Yes |
Addresses
Primary practice location
2006 Holton Rd
North Muskegon, MI 49445-1505
Mailing address
PO Box 1847
Muskegon, MI 49443-1847
Phone (231) 728-1663
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689964397 | Medicaid | MI |
Other names
- Kourtnee Jo Naylor
Other providers in North Muskegon, MI
- True You Coaching and Counseling
- Lynne Twining
- Angela Renee Vander Wall
- Jonathan Vanderslik
- Sydnie Jayne Vanderstelt
- Walgreen Co
- Shelly L Williams
- Jane M Wright
- James A Zolman
All providers in North Muskegon, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.