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NICOLE MARIE VANDUSSEN LMSW
NPI 1063922433
Social Worker - Clinical in Coopersville, MI

Active since October 11, 2017
15575 40TH AVE, COOPERSVILLE, MI 49404(616) 970-5858 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2021, Oct 11, 2017 (2 updates tracked since 2017).

About Nicole Marie Vandussen Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE MARIE VANDUSSEN LMSW (NPI 1063922433) is an individual clinical provider in Coopersville, Michigan, licensed in Michigan (6801111269) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1063922433
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE MARIE VANDUSSENCredential: LMSW
Location Address15575 40TH AVECoopersville, MI 49404-9615
Mailing Address15575 40th AveCoopersville, MI 49404-9615 · (616) 970-5858
Phone(616) 970-5858
Sole ProprietorNo
Enumeration DateOctober 11, 2017
Last NPPES UpdateDecember 15, 20212 updates tracked since enumeration
NPPES CertifiedDecember 15, 2021
✔ NPI 1063922433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801111269
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 6801101765 (MI)
15575 40TH AVE, Coopersville, MI 49404
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Vandussen's NPI number?

The NPI number for Nicole Vandussen is 1063922433. It was assigned to this individual provider in the NPPES registry on October 11, 2017.

Where is Nicole Vandussen located?

Nicole Vandussen practices at 15575 40th Ave, Coopersville, MI 49404. The listed phone number is (616) 970-5858.

What is Nicole Vandussen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Nicole Vandussen was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.