MR. MARK ANTHONY VAN DYKE (NPI# 1508958067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508958067 |
| Entity Type | Individual |
| Full Name | MR. MARK ANTHONY VAN DYKE |
| Credential | LCSW |
| Practice Address |
2250 N Craycroft Rd Suite 250 Tucson AZ 85712-2802 |
| Practice Telephone | 5205464452 |
| Practice Fax Number | 5205464494 |
| Mailing Telephone | 5205464452 |
| Mailing Fax Number | 5205464494 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-3537 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 883729 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407906613 | Mark William Van Dyke | Emergency Medicine | 306 W 11th St 2nd Fl, Erie, PA 16501-1705 | 2007-01-11 |
| Street Address |
2250 N CRAYCROFT RD SUITE 250 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124028220 | Fred Douglas Miller | Family Medicine | 2250 N Craycroft Rd, Ste 2200, Tucson, AZ 85712-2802 | 2005-07-29 |
| 1932752029 | Talia Troyo | Speech-Language Pathologist | 2250 N Craycroft Rd, Tucson, AZ 85712-2802 | 2019-07-18 |
| 1144701202 | Kimberly Wardle | Speech-Language Pathologist | 2250 N Craycroft Rd, Tucson, AZ 85712-2802 | 2018-08-27 |
| 1720569908 | Lesley Marie Yowell | Occupational Therapist | 2250 N Craycroft Rd, Tucson, AZ 85712-2802 | 2018-08-24 |
| 1184125304 | Jean Williamson | Physical Therapist | 2250 N Craycroft Rd, Tucson, AZ 85712-2802 | 2018-02-22 |
| 1649548306 | Foothills Rehabilitation Center LLC | Skilled Nursing Facility | 2250 N Craycroft Rd, Tucson, AZ 85712-2802 | 2011-12-09 |
| 1679872220 | Bridgeway Health Solutions of Arizona, LLC | Health Maintenance Organization | 2250 N Craycroft Rd, Tucson, AZ 85712-2802 | 2011-03-22 |
| 1134319080 | Pima Health System | Health Maintenance Organization | 2250 N Craycroft Rd, Tucson, AZ 85712-2802 | 2007-07-26 |
| 1780884478 | Sally Renee Levario | Social Worker | 2250 N Craycroft Rd, Suite 250, Tucson, AZ 85712-2802 | 2007-07-20 |
| 1043346760 | Posada Del Sol Healthcare Center | Clinic/Center | 2250 N Craycroft Rd, Tucson, AZ 85712-2802 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| 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 |
|---|---|---|---|---|
| 1669070710 | Erica Rhea Wagner | Social Worker | 4873 E Cooper St, Tucson, AZ 85711-3617 | 2020-10-12 |
| 1053928648 | Elizabeth Sarah Kieding | Social Worker | 4732 E Calle Elegante, Tucson, AZ 85718-3733 | 2020-09-28 |
| 1386259778 | Yolanda Jeli | Social Worker | 1701 W Saint Marys Rd Ste 117, Tucson, AZ 85745-2621 | 2020-09-11 |
| 1689282097 | Marcus Aurelius De Volder | Social Worker | 8110 E Speedway Blvd Apt 8391, Tucson, AZ 85710-1782 | 2020-07-21 |
| 1336766641 | Jamie Lakin | Social Worker | 470 W Roger Rd Ste 110, Tucson, AZ 85705-2679 | 2020-07-02 |
| 1356961973 | Jillian A Stein-seroussi | Social Worker | 5400 E Williams Blvd Apt 12207, Tucson, AZ 85711-7486 | 2020-04-23 |
| 1124648175 | Deborah Lorraine Mack | Social Worker | 9950 N Camino De Oeste, Tucson, AZ 85742-9119 | 2020-04-20 |
| 1376163543 | Strategic Healing LLC | Social Worker | 245 S Bryant Ave, Tucson, AZ 85711-4122 | 2020-04-17 |
| 1811526841 | Jessica Belter | Social Worker | 3009 E Elm St # 1, Tucson, AZ 85716-3124 | 2020-04-02 |
| 1700425436 | Shannon N Barefield | Social Worker | 48 N Tucson Blvd Ste 100, Tucson, AZ 85716-4756 | 2019-12-28 |
| Find all providers in TUCSON | ||||
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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.