MEDICARE: DR. DERIK VANBAALE PHD, LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6801091310	MI

General Provider Information

NPI Number	:	1336581024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DERIK VANBAALE PHD, LMSW

Provider Business Mailing Address
First Line	:	300 E 6TH ST
Second Line	:
City	:	SHELBY
State	:	MI
Zip	:	49455-1150
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 E 6TH ST
Second Line	:
City	:	SHELBY
State	:	MI
Zip	:	49455-1150
Country	:	US
Telephone Number	:	616-450-2284
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2013
Last Update Date	:	12/21/2024

Similar Medicare Providers

1598573503 — THREE CS PROFESSIONAL SERVICES LLC
Practice Location Address:

300 E 6TH ST
SHELBY, MI
49455-1150

Practice Phone: 616-450-2284
Practice Fax:

1538169222 — DR. CLAUDIA DAUDE LEMAN D.C.
Practice Location Address:

55185 SHELBY RD
SHELBY TOWNSHIP, MI
48316-1150

Practice Phone: 248-650-5200
Practice Fax: 248-651-1948

1043260961 — DR. LINDA A BLAKE D.C.
Practice Location Address:

55185 SHELBY RD
SHELBY TOWNSHIP, MI
48316-1150

Practice Phone: 248-650-5200
Practice Fax: 248-651-1948

1336273358 — DAUDE FAMILY CHIROPRACTIC PC
Practice Location Address:

55185 SHELBY RD
SHELBY TOWNSHIP, MI
48316-1150

Practice Phone: 248-650-5200
Practice Fax:

1073830709 — DR. SHELLY EINEICHNER D.C.
Practice Location Address:

55185 SHELBY RD
SHELBY TWP, MI
48316-1150

Practice Phone: 248-650-5200
Practice Fax: 248-651-1948

1578064481 — J.A. PENZIEN, P.C.
Practice Location Address:

55191 SHELBY RD
SHELBY TOWNSHIP, MI
48316-1150

Practice Phone: 248-650-5500
Practice Fax:

Directions to “ DR. DERIK VANBAALE PHD, LMSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.