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: August 16, 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 NPPES & CMS

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

What is Kenneth Nydam's NPI number?

The NPI number for Kenneth Nydam is 1194990614. It was assigned to this individual provider in the NPPES registry on April 25, 2008.

Where is Kenneth Nydam located?

Kenneth Nydam practices at 5839 Hope Way, Cadillac, MI 49601. The listed phone number is (231) 942-8455.

What is Kenneth Nydam'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 Kenneth Nydam was last updated on January 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.