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

KENNETH JOHN NYDAM, LMSW

Active Sole Proprietor

KENNETH JOHN NYDAM, LMSW is a Clinical Social Worker healthcare provider located in CADILLAC, Michigan. NPI 1194990614 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CADILLAC, MI

Registration Details

NPI Number
1194990614
Provider Type
Individual
Gender
Male
NPI Issued
Apr 25, 2008 (18.280361176856 yrs)
Last Updated
Jan 22, 2013
Sole Proprietor
Yes

Practice Information

Address
5839 HOPE WAY
CADILLAC, MI, 496017085
Browse MI providers · Browse ZIP 49601
Phone
2319428455
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in CADILLAC, MI

Name Credential NPI
AMY JOANN TAYLOR LMSW 1932170503
JOANIE E BLAMER LMSW 1558335836
MRS. PAULA CHOUINARD-RINAL LMSW 1497766497
MS. DEANNA JOAN ROSSER LMSW 1346300654
SHERI SHEESE MSW,ACSW,LMSW 1477769826
ASHLEY OTTO MSW, LLMSW 1124212030
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.