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

Individual provider Mental Health Counselor · NPI 1104406271

Nicholas Van Walleghem, LCSW is a Mental Health Counselor in Kansas City, Missouri. Licensed in Missouri. Registered with an NPI since 2021.

Licensed in
MO
In the registry since
2021
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

1911 E 23rd St
Kansas City, MO 64127-3701
Phone: (913) 706-1347
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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 2022001668 (MO)
Mental Health Counselor Taxonomy 101YM0800X · Licence 2019026772 (MO)

Record details

NPI number1104406271
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022

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