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

Desiree M Vanderlick, LPC

Individual provider Professional Counselor · NPI 1639967227

Desiree M Vanderlick, LPC is a Mental Health Counselor in Hazleton, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Children's Service Center of Wyoming Valley Inc, a 32-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2025
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1730 E Broad St Ste 5
Hazleton, PA 18201-5657
Phone: (570) 266-2155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC019861 (PA)

Record details

NPI number1639967227
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedApril 25, 2025
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address1730 E Broad St Ste 5, Hazleton, PA 18201-5657

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Children'S Service Center Of Wyoming Valley Inc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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