MICHAEL LEE VAN DAM (NPI# 1386729994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386729994 |
| Entity Type | Individual |
| Full Name | MICHAEL LEE VAN DAM |
| Credential | LCSW |
| Practice Address |
94 E Pages Ln Suite A Centerville UT 84014-2216 |
| Practice Telephone | 8012940578 |
| Mailing Telephone | 8012940578 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2009-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
5199130-3501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
94 E PAGES LN SUITE A |
| City | CENTERVILLE |
| State | UT |
| Zip Code | 84014-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386196830 | Tracy Burnham | Social Worker | 94 E Pages Ln, Suite A, Centerville, UT 84014-2216 | 2016-11-01 |
| 1699128694 | Cami Tate | Counselor | 94 E Pages Ln, Suite A, Centerville, UT 84014-2216 | 2016-07-14 |
| 1437522208 | Carly Kropf | Marriage & Family Therapist | 94 E Pages Ln, Centerville, UT 84014-2216 | 2015-11-02 |
| 1750783247 | Jeremiah Bailey Bitner | Counselor | 94 E Pages Ln, Suite A, Centerville, UT 84014-2216 | 2014-09-16 |
| 1962803502 | Nick Olene Rowe | Counselor | 94 E Pages Ln, Suite A, Centerville, UT 84014-2216 | 2014-09-15 |
| 1760763676 | Karen Clark Coulam | Social Worker | 94 E Pages Ln, A, Centerville, UT 84014-2216 | 2011-09-06 |
| 1740573765 | Kristina N Larson | Counselor | 94 E Pages Ln, A, Centerville, UT 84014-2216 | 2011-05-24 |
| 1154636975 | Jennifer Lynn Johnson | Counselor | 94 E Pages Ln, A, Centerville, UT 84014-2216 | 2010-08-17 |
| 1588978332 | Stephanie Kay Bergeson | Counselor | 94 E Pages Ln, A, Centerville, UT 84014-2216 | 2010-08-04 |
| 1992030480 | Keith Thomas Jenson | Counselor | 94 E Pages Ln, #a, Centerville, UT 84014-2216 | 2009-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879160 | Nanette F Reid | Physical Therapist | 103 West 1450 North, Centerville, UT 84014 | 2020-04-03 |
| 1124557541 | Julie Blundell | Social Worker | 1634 Lewis and Clark Dr, Centerville, UT 84014 | 2017-06-08 |
| 1588843395 | Lorant Steve Bodo | Assisted Living Facility | 463 West Rawlins Circle, Centerville, UT 84014 | 2007-10-29 |
| 1659572949 | Armando Wayne Slack | Registered Nurse | 190 S Main St, Centerville, UT 84014 | 2007-05-31 |
| 1467588004 | Pitt Family Dental | Dentist | 281 South Main, Centerville, UT 84014 | 2007-02-26 |
| 1841346467 | Lds Family Services | Specialist | 94a East Pages Lane, Centerville, UT 84014 | 2007-01-26 |
| 1275690489 | Do-it for You | Chore Provider | 291 E Casa Loma Drive, Centerville, UT 84014 | 2007-01-03 |
| 1558455527 | Brian D Rigby | Dentist | 44 East 100 South, Suite 100, Centerville, UT 84014 | 2006-10-03 |
| 1588756407 | Gary A Lawson | Dentist | 1080 South 400 East, Centerville, UT 84014 | 2006-09-28 |
| 1811526353 | Reid Physical Therapy | Physical Therapist | 103 West 1450 North, Centerville, UT 84014 | 2020-04-06 |
| Find all providers in zip 84014 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163665 | Christopher Wayne Gibson | Social Worker | 190 S Main St Ste B, Centerville, UT 84014-2839 | 2018-11-21 |
| 1124557541 | Julie Blundell | Social Worker | 1634 Lewis and Clark Dr, Centerville, UT 84014 | 2017-06-08 |
| 1922532761 | Barbara Rahe | Social Worker | 7970 Clyo Rd, Centerville, OH 45459-4835 | 2017-04-19 |
| 1790220838 | Jessie Lacasse | Social Worker | 88 West Main Street, Centerville, MA 02632 | 2016-12-28 |
| 1801341730 | Shawnmari Marshall-kaiser | Social Worker | 6784 Loop Rd Ste 207, Centerville, OH 45459-2161 | 2016-08-21 |
| 1932563749 | Heart To Heart Counseling, LLC | Social Worker | 539 Windsor Park Drive, Centerville, OH 45459-4112 | 2016-04-07 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1093851834 | Ellen Louise Queeney | Social Worker | 158 Scudder Bay Cir, Centerville, MA 02632-3345 | 2007-01-29 |
| 1912052325 | Paula Sue Gordy | Social Worker | 501 N 12th St, Suite 1, Centerville, IA 52544-1439 | 2007-01-24 |
| 1255431011 | Ann Blunt Condon | Social Worker | 7 Woodvale Ln, Centerville, MA 02632-2220 | 2006-09-22 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 84014 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.