What is Kenneth Nydam's NPI number?

Kenneth Nydam's National Provider Identifier (NPI) is 1194990614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kenneth Nydam's specialty?

Kenneth Nydam is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Kenneth Nydam located?

Kenneth Nydam's practice location on file with NPPES is 5839 Hope Way, Cadillac, MI 49601-7085.

What is Kenneth Nydam's phone number?

The practice phone number listed in the NPPES registry for Kenneth Nydam is (231) 942-8455.

Is Kenneth Nydam's NPI active?

Yes — Kenneth Nydam's NPI (1194990614) is active in the NPPES registry as of the last update on 2013-01-22.

IndividualActive

Kenneth Nydam, LMSW

NPI 1194990614 · Clinical Social Worker · Cadillac, MI

Kenneth Nydam, LMSW is a Clinical Social Worker provider in Cadillac, MI (NPI 1194990614).

Provider details

NPI number: 1194990614
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LMSW
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700X
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(81/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

5839 Hope Way

Cadillac, MI 49601-7085

Phone: (231) 942-8455

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address