Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Azeldri Van der Wath, LCSW

Individual provider Clinical Social Worker · NPI 1366043408

Azeldri Van der Wath, LCSW is a Clinical Social Worker in Troy, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

888 W Big Beaver Rd Ste 780
Troy, MI 48084-4745
Phone: (248) 215-2716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801106710 (MI)

Record details

NPI number1366043408
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 5, 2020
Last updated in NPPESFebruary 11, 2022
Certification dateFebruary 11, 2022

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