NICHOLAS VAN WALLEGHEM LCSW
NPI 1104406271
Social Worker - Clinical in Kansas City, MO

Q: What is Nicholas Van Walleghem's NPI number?

The NPI number for Nicholas Van Walleghem is 1104406271. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Q: What is Nicholas Van Walleghem's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since April 12, 2021PECOS Enrolled

1911 E 23RD ST, KANSAS CITY, MO 64127(913) 706-1347 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2022, Apr 12, 2021 (2 updates tracked since 2021).

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About Nicholas Van Walleghem Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS VAN WALLEGHEM LCSW (NPI 1104406271) is an individual clinical provider in Kansas City, Missouri, licensed in Missouri (2022001668) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104406271

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameNICHOLAS VAN WALLEGHEMCredential: LCSW

Location Address1911 E 23RD STKansas City, MO 64127-3701

Mailing Address1911 E 23rd StKansas City, MO 64127-3701 · (816) 241-3448

Phone(913) 706-1347

Sole ProprietorNo

Enumeration DateApril 12, 2021

Last NPPES UpdateAugust 8, 20222 updates tracked since enumeration

NPPES CertifiedAugust 8, 2022

✔ NPI 1104406271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MO · 2022001668

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2019026772 (MO)

1911 E 23RD ST, Kansas City, MO 64127

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Other Identifiers 1

Medicaid490096849MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Van Walleghem Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64127 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $55.29 – $168.52

Typical copayment $0.00 (range $13.82 – $42.13)

Most-billed visit code NA

Established Patient

$69.10 typical visit price

range $17.60 – $137.20

Typical copayment $17.27 (range $4.40 – $34.30)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN VICTORIA ANDERSON LPC

Counselor (Professional)