Individual provider · Type 1 NPI

Michael Jon Vanderwaal, LCSW

Clinical Social Worker · Kansas City, MO

NPI number 1669001665 Active

Practice location

4110 Baltimore Ave
Kansas City, MO 64111-2303

Call (816) 200-2320 Map

Mailing address

4049 Central St
Kansas City, MO 64111-2207

Specialties and licenses

Taxonomy	Code	License
Social Worker	104100000X	2019021597 (MO)
Clinical Social Worker Primary	1041C0700X	2021038693 (MO)

Clinical Social Worker: 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 interpers…

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About NPI 1669001665

Michael Jon Vanderwaal, LCSW's National Provider Identifier is 1669001665, issued on Apr 2, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kansas City, MO. The record was last updated on Sep 23, 2021.