Individual provider Active NPI

Andrew F Vanslyke, LMSW

  • Social Worker
  • Lee's Summit, MO
National Provider Identifier
1508405523
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2019046346 Issued in MO
Practice address
668 SE Bayberry LN Ste 101
Lees Summit, MO 64063-4366
Phone
(816) 500-6436
NPI assigned
Dec 23, 2019
Last updated
Dec 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2019046346 MO Primary

Addresses

Primary practice location

668 SE Bayberry LN Ste 101
Lees Summit, MO 64063-4366

Mailing address

668 SE Bayberry LN Ste 101
Lees Summit, MO 64063-4366
Phone (816) 500-6436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2019046346MOMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1508405523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 SE BAYBERRY LN STE 101",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640634366",
            "telephone_number": "816-500-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 SE BAYBERRY LN STE 101",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640634366",
            "telephone_number": "816-500-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSLYKE",
        "first_name": "ANDREW",
        "middle_name": "F",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2019046346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.