Michael Paul Vanderwalker, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801046901 Issued in MI

Practice address

153 Mohawk Street
Jackson, MI 49203-5349

Phone

(517) 782-6674

Fax

(517) 782-6742

NPI assigned

Dec 22, 2006

Sex

Male

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crossroads Psychotherapy PC

  • Community/Behavioral Health Agency
  • Jackson, MI
  • NPI 1174704068
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1902961766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 MOHAWK STREET",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035349",
            "telephone_number": "517-782-6674",
            "fax_number": "517-782-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 MOHAWK STREET",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035349",
            "telephone_number": "517-782-6674",
            "fax_number": "517-782-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERWALKER",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801046901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Vander Vlucht
• Kelly Vandergiessen, MA CCC-SLP
• Aynsley Victoria Vanderkarr, PA-C
• Ruth Ann Vanderpool-Combs, LLPC
• Beth E Vanderwalker, LMSW
• Ashley Paige Vanells, OTR/L
• Karli Jo Vanryswyk
• Timothy Scott Vanschoick, M.D.
• Beth Sue Vansumeren
• Aaron Michael Vanwagnen, MD

• Clinical Social Worker in Jackson, MI
• Providers in Jackson, 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 Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.