NATHAN VAN DYKE
NPI 1154704716
Social Worker - Clinical in Salt Lake City, UT

Q: What is Nathan Van Dyke's NPI number?

The NPI number for Nathan Van Dyke is 1154704716. It was assigned to this individual provider in the NPPES registry on July 1, 2015.

Q: What is Nathan Van Dyke's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nathan Van Dyke was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since July 01, 2015

1425 S 700 E STE 102, SALT LAKE CITY, UT 84105(801) 448-7577 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nathan Van Dyke NPPES

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

NATHAN VAN DYKE (NPI 1154704716) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (9148081-3501) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1154704716

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameNATHAN VAN DYKE

Location Address1425 S 700 E STE 102Salt Lake City, UT 84105-2125

Mailing Address433 W 2nd AveMidvale, UT 84047-7307 · (801) 577-8869

Phone(801) 448-7577

Sole ProprietorYes

Enumeration DateJuly 1, 2015

Last NPPES UpdateJanuary 29, 2026

NPPES CertifiedJanuary 29, 2026

✔ NPI 1154704716 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 UT · 9148081-3501

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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 9148081-6006 (UT)

1425 S 700 E STE 102, Salt Lake City, UT 84105

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEOFFREY OLSEN

Counselor (Mental Health)