Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITCHEL JAY VANWAGONER
ActiveMITCHEL JAY VANWAGONER is a Clinical Social Worker healthcare provider located in DRAPER, Utah. NPI 1861056343 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · DRAPER, UT
Registration Details
- NPI Number
- 1861056343
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 30, 2019 (7.3093100609278 yrs)
- Last Updated
- Mar 15, 2023
- License
-
11780474-3502 (UT)
Practice Information
- Address
-
12608 S 125 W STE EDRAPER, UT, 840208437Browse UT providers · Browse ZIP 84020
- Phone
- 8016796669
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in DRAPER, UT
| Name | Credential | NPI |
|---|---|---|
| JOSEPH MICHAEL TIMMINS | LCSW | 1780652271 |
| MRS. CHELSEA JEANINE ARMSTRONG | LCSW | 1669541413 |
| MR. KYLE HANSEN GOUDIE | LCSW | 1295857266 |
| MARK TREUHAFT | L.C.S.W. | 1871719799 |
| MRS. MARCIA THOMPSON | L.C.S.W. | 1679790240 |
| MRS. KYNDEL MARCROFT | LCSW | 1073718805 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.