AZELDRI VAN DER WATH LCSW
NPI 1366043408
Social Worker - Clinical in Troy, MI

Q: What is Azeldri Van Der Wath's NPI number?

The NPI number for Azeldri Van Der Wath is 1366043408. It was assigned to this individual provider in the NPPES registry on November 5, 2020.

Q: What is Azeldri Van Der Wath's specialty?

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

Active since November 05, 2020

888 W BIG BEAVER RD STE 780, TROY, MI 48084(248) 215-2716 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2022, Jan 28, 2021, Nov 5, 2020 (3 updates tracked since 2020).

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About Azeldri Van Der Wath Lcsw NPPES

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

AZELDRI VAN DER WATH LCSW (NPI 1366043408) is an individual clinical provider in Troy, Michigan, licensed in Michigan (6801106710) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1366043408

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameAZELDRI VAN DER WATHCredential: LCSW

Location Address888 W BIG BEAVER RD STE 780Troy, MI 48084-4745

Mailing Address888 W Big Beaver Rd Ste 780Troy, MI 48084-4745 · (248) 215-2716

Phone(248) 215-2716

Sole ProprietorYes

Enumeration DateNovember 5, 2020

Last NPPES UpdateFebruary 11, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2022

✔ NPI 1366043408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801106710

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.

888 W BIG BEAVER RD STE 780, Troy, MI 48084

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 20

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

MRS. ERIKA LOPEZ LCSW

Social Worker (Clinical)