Kendra Vander Sluis-Kallemeyn, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801099322 Issued in MI

Practice address

300 Lafayette Ave SE Ste 3000
Grand Rapids, MI 49503-4692

Phone

(616) 685-6919

Fax

(616) 685-3063

NPI assigned

May 23, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1548952039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776974",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776974",
            "telephone_number": "231-672-2119",
            "fax_number": "313-432-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LAFAYETTE AVE SE STE 3000",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034692",
            "telephone_number": "616-685-6919",
            "fax_number": "616-685-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER SLUIS-KALLEMEYN",
        "first_name": "KENDRA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Vander Ploeg, LMSW
• Katherine Anne Vander Ploeg
• Marcia Vander Ploeg, LBSW
• Breanna Marie Vander Schaaf, RN
• Connie M Vander Schel, MSW, LMSW
• Ericka Lee Vander Sys, CNM
• David Dirk Vander Velde, DO
• Audrey Joy-Baker Vander Wal, MA, LPC
• Joel Andrew Vander Wall, MSPT
• Elizabeth Vander Weide

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.