Active NPI
Lily Vandyk
- Clinical Social Worker
- Pittsburgh, PA
National Provider Identifier
1982016291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW133230
- Practice address
- 307 4TH Ave Ste 310
Pittsburgh, PA 15222 - Phone
- (412) 471-8722
- NPI assigned
- May 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW133230 | PA | Primary |
Addresses
Primary practice location
307 4TH Ave Ste 310
Pittsburgh, PA 15222
Mailing address
2281 Shady Ave
Pittsburgh, PA 15217-2313
Phone (774) 437-3293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW133230 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lily J Vandyk LLC | Clinical | Current | Accepting new patients |
| Three Rivers Adoption Council | Past | Accepting new patients | |
| Three Rivers Adoption Council | Past | Accepting new patients |
Locations
3518 5th Ave
Pittsburgh, PA 15213
Phone (412) 383-2377
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Pittsburgh, PA
- NPI 1922843846
-
- Community/Behavioral Health Agency
- Pittsburgh, PA
- NPI 1689853103
-
- Adolescent and Children Mental Health Clinic/Center
- Pittsburgh, PA
- NPI 1932355351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1982016291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2281 SHADY AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152172313",
"telephone_number": "774-437-3293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 4TH AVE STE 310",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15222",
"telephone_number": "412-471-8722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDYK",
"first_name": "LILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-21",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "SW133230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.