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

Kristina Vandyke, LICSW

Individual provider Clinical Social Worker · NPI 1245657816

Kristina Vandyke, LICSW is a Clinical Social Worker in Eagan, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1110 Yankee Doodle Rd
Eagan, MN 55121-2092
Phone: (651) 454-3970
Fax: (651) 241-0059
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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 21099 (MN)

Record details

NPI number1245657816
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 21, 2014
Last updated in NPPESJanuary 5, 2023
Certification dateJanuary 5, 2023

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