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MR. MICHAEL JON VANDERWAAL LCSW
NPI 1669001665
Social Worker - Clinical in Kansas City, MO

Active since April 02, 2020
4110 BALTIMORE AVE, KANSAS CITY, MO 64111(816) 200-2320 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 23, 2021, Apr 2, 2020 (2 updates tracked since 2020).

About Mr. Michael Jon Vanderwaal Lcsw NPPES

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

MR. MICHAEL JON VANDERWAAL LCSW (NPI 1669001665) is an individual clinical provider in Kansas City, Missouri, licensed in Missouri (2021038693) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1669001665
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MICHAEL JON VANDERWAALCredential: LCSW
Location Address4110 BALTIMORE AVEKansas City, MO 64111-2303
Mailing Address4049 Central StKansas City, MO 64111-2207 · (816) 200-2320
Phone(816) 200-2320
Sole ProprietorYes
Enumeration DateApril 2, 2020
Last NPPES UpdateSeptember 23, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
✔ NPI 1669001665 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 · 2021038693
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 ListedSocial WorkerTaxonomy 104100000X · License 2019021597 (MO)
4110 BALTIMORE AVE, Kansas City, MO 64111
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 4

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

TRELLIS CARES LLC
Home Health
4110 BALTIMORE AVE
KANSAS CITY, MO 64111
Jackson County (816) 408-3700
CAYLEN SUNDERMAN LMFT
Marriage & Family Therapist
4110 BALTIMORE AVE
KANSAS CITY, MO 64111
Jackson County (913) 777-4067
MARQUITTA J FIELDS S-MFT
Marriage & Family Therapist
4110 BALTIMORE AVE
KANSAS CITY, MO 64111
Jackson County (816) 651-2214
TERESSA THURWANGER
Marriage & Family Therapist
4110 BALTIMORE AVE
KANSAS CITY, MO 64111
Jackson County (913) 485-7674

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Vanderwaal's NPI number?

The NPI number for Michael Vanderwaal is 1669001665. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Michael Vanderwaal located?

Michael Vanderwaal practices at 4110 Baltimore Ave, Kansas City, MO 64111. The listed phone number is (816) 200-2320.

What is Michael Vanderwaal's specialty?

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

What insurance does Michael Vanderwaal accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Michael Vanderwaal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Vanderwaal was last updated on September 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.