Timothy Carl Vandyke, LMSW
Social Worker in Fort Smith, AR. Individual provider (NPI-1).
NPI number1013801554
StatusActive
Last updated in NPPESJun 9, 2025
Details
- NPI
- 1013801554
- Entity type
- Individual (NPI-1)
- Name
- Timothy Carl Vandyke
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2025
- Certification date
- Jun 8, 2025
- Last updated
- Jun 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | PLMSW | AR | Yes |
Practice location
909 S 20th StFort Smith, AR 72901-4815
Phone 479-407-4638
Mailing address
2018 S O StFort Smith, AR 72901-5652
Phone 479-407-4638
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