Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Michael Jon Vanderwaal, LCSW

Individual provider Social Worker · NPI 1669001665

Mr. Michael Jon Vanderwaal, LCSW is a Social Worker in Kansas City, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2020
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4110 Baltimore Ave
Kansas City, MO 64111-2303
Phone: (816) 200-2320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2021038693 (MO)
Social Worker Taxonomy 104100000X · Licence 2019021597 (MO)

Record details

NPI number1669001665
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 2, 2020
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021

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