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

Mr. Collin J. Vander Pol, LCSW

Individual provider Clinical Social Worker · NPI 1922106970

Mr. Collin J. Vander Pol, LCSW is a Clinical Social Worker in Dahlonega, Georgia. Qualified in 1998, 28 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
28
Licensed in
GA
In the registry since
2006
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

81 Crown Mountain Pl Ste A-300
Dahlonega, GA 30533-1627
Phone: (706) 867-0566
Fax: (706) 867-6859
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW003570 (GA)

Record details

NPI number1922106970
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 19, 2012
Mailing addressPo Box 1693, Dahlonega, GA 30533-0029

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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