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

MICHAEL LEE VAN DAM, LCSW

Active Sole Proprietor

MICHAEL LEE VAN DAM, LCSW is a Clinical Social Worker healthcare provider located in CENTERVILLE, Utah. NPI 1386729994 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CENTERVILLE, UT

Registration Details

NPI Number
1386729994
Provider Type
Individual
Gender
Male
NPI Issued
Oct 25, 2006 (19.776566508521 yrs)
Last Updated
Jun 23, 2009
License
5199130-3501 (UT)
Sole Proprietor
Yes

Practice Information

Address
94 E PAGES LN
SUITE A
CENTERVILLE, UT, 840142216
Browse UT providers · Browse ZIP 84014
Phone
8012940578
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in CENTERVILLE, UT

Name Credential NPI
SHANNON ELAINE LANDHEIM L.C.S.W. 1770520777
MRS. LISA STEED LCSW 1164562328
MRS. TRISHA TAGE JENSEN LCSW 1861533465
MRS. SONDRA JOYCE SOUTHERS CSW 1518008168
MRS. CHRISTY PARRISH COX CSW 1619018686
MR. ANDREW RICHARD POLL MSW 1316156458
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.