Sidney Dykstra, LMSW, CAADC
NPI 1467075218ActiveIndividual· Social Worker, Clinical· Grand Rapids, MI
Social Worker, Clinical (LMSW, CAADC) with Kent County Cmh Authority, practicing in Grand Rapids, Michigan. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1467075218 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMSW, CAADC |
| Sole proprietor | No |
| NPI issued | May 27, 2020 |
| Last updated in NPPES | Apr 17, 2026 |
| Certified by provider | Apr 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 6801115329 | MI |
| Social Worker | 104100000X | — | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MI) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Kent County Cmh AuthorityGrand Rapids, MI · 70 clinicians
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