KENNETH JOHN NYDAM LMSW
NPI 1194990614
Social Worker - Clinical in Cadillac, MI

Active since April 25, 2008
5839 HOPE WAY, CADILLAC, MI 49601(231) 942-8455 Get Directions Write a Review

NPPES record last updated: January 22, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenneth John Nydam Lmsw NPPES

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

KENNETH JOHN NYDAM LMSW (NPI 1194990614) is an individual clinical provider in Cadillac, Michigan and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1194990614
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKENNETH JOHN NYDAMCredential: LMSW
Location Address5839 HOPE WAYCadillac, MI 49601-7085
Mailing Address5839 Hope WayCadillac, MI 49601-7085 · (231) 942-8455
Sole ProprietorYes
Enumeration DateApril 25, 2008
Last NPPES UpdateJanuary 22, 2013
NPI 1194990614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.

5839 HOPE WAY, Cadillac, MI 49601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194990614, enumerated as an "individual" on April 25, 2008.

The provider is located at 5839 HOPE WAY CADILLAC, MI 49601 and the phone number is (231) 942-8455.

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