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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NATHAN VAN DYKE

Active Sole Proprietor

NATHAN VAN DYKE is a Clinical Social Worker healthcare provider located in SALT LAKE CITY, Utah. NPI 1154704716 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SALT LAKE CITY, UT

Registration Details

NPI Number
1154704716
Provider Type
Individual
Gender
Male
NPI Issued
Jul 1, 2015 (11.153261649259 yrs)
Last Updated
Jan 29, 2026
Licenses
9148081-3501 (UT)
9148081-6006 (UT)
Sole Proprietor
Yes

Practice Information

Address
1425 S 700 E STE 102
SALT LAKE CITY, UT, 841052125
Browse UT providers · Browse ZIP 84105
Phone
8014487577
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in SALT LAKE CITY, UT

Name Credential NPI
RODERICK VERNE JOHNSON LCSW 1780672915
EDNA MERRY WILCOCK R.N., L.C.S.W. 1194714766
MS. MABEL ANN JENTZSCH L.C.S.W. 1326020512
MR. DAVID GARY ELDREDGE LCSW 1699758342
MR. CORY MELVIN SHIPP LCSW 1609850221
MRS. SANDRA KAY VARLEY LCSW 1083699565
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.