Provider Demographics
NPI:1578661989
Name:ART, MICHAEL A (LCSW)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:A
Last Name:ART
Suffix:
Gender:M
Credentials:LCSW
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Mailing Address - Street 1:3100 BROADWAY BLVD
Mailing Address - Street 2:STE 410
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-2655
Mailing Address - Country:US
Mailing Address - Phone:816-246-8000
Mailing Address - Fax:816-247-8207
Practice Address - Street 1:12600 E US HIGHWAY 40
Practice Address - Street 2:STE 101
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-5909
Practice Address - Country:US
Practice Address - Phone:816-204-1856
Practice Address - Fax:818-478-8888
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2017-05-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO0011921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical