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

MS. Stacey M Vanderklok, LMSW

Individual provider Social Worker · NPI 1578653986

MS. Stacey M Vanderklok, LMSW is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 1998, 28 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
28
Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

600 3 Mile Rd NW
Grand Rapids, MI 49544-1685
Phone: (616) 207-3292
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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 6801081440 (MI)
Social Worker Taxonomy 104100000X · Licence 6801081440 (MI)

Record details

NPI number1578653986
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedOctober 14, 2006
Last updated in NPPESApril 24, 2023
Certification dateApril 23, 2023

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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