HOLLY ALEXANDRIA VAN DYKE MSW,LCSW
NPI 1073053591
Social Worker - Clinical in Fayetteville, NC

Active since March 02, 2017
1310 RAEFORD RD STE 2, FAYETTEVILLE, NC 28305(910) 485-6336 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 14, 2021, Jul 16, 2019, Mar 2, 2017 (3 updates tracked since 2017).

About Holly Alexandria Van Dyke Msw,lcsw NPPES

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

HOLLY ALEXANDRIA VAN DYKE MSW,LCSW (NPI 1073053591) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (C012113) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1073053591
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHOLLY ALEXANDRIA VAN DYKECredential: MSW,LCSW
Location Address1310 RAEFORD RD STE 2Fayetteville, NC 28305-5086
Mailing AddressPo Box 9909Fayetteville, NC 28311-9094 · (910) 485-6336
Sole ProprietorNo
Enumeration DateMarch 2, 2017
Last NPPES UpdateMay 14, 20213 updates tracked since enumeration
NPPES CertifiedMay 14, 2021
NPI 1073053591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in NC · C012113 Licensed in NC · P011250
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.

1310 RAEFORD RD STE 2, Fayetteville, NC 28305

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Social Worker (Clinical)
1310 RAEFORD RD STE 2
FAYETTEVILLE, NC 28305
Social Worker (Clinical)
1310 RAEFORD RD STE 2
FAYETTEVILLE, NC 28305
Psychologist (Clinical)
1310 RAEFORD RD STE 2
FAYETTEVILLE, NC 28305
Social Worker (Clinical)
1310 RAEFORD RD STE 2
FAYETTEVILLE, NC 28305
Social Worker (Clinical)
1310 RAEFORD RD STE 2
FAYETTEVILLE, NC 28305
Counselor (Mental Health)
1310 RAEFORD RD STE 2
FAYETTEVILLE, NC 28305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073053591, enumerated as an "individual" on March 02, 2017.

The provider is located at 1310 RAEFORD RD STE 2 FAYETTEVILLE, NC 28305 and the phone number is (910) 485-6336.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.