Search › Missouri › 1041C0700X
Michael Vanderwaal, LCSW
NPI 1669001665 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4110 Baltimore Ave
Kansas City, MO 64111 - Phone
- (816) 200-2320
- Organisation at this address
- Trellis Cares Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri