NPI 1023366127

Shannon Louise Vanderkooi, LCSW

Practitioner Clinical Social Worker West Valley City, UT

Practice location

Address: 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013
Phone: (801) 969-4181
Mailing address: 6671 W Haven Maple Dr, West Jordan, UT 84081-2957

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 54237883501 (UT)

Other Social Worker providers in Utah →

Registry record

NPI: 1023366127
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2012
Record last updated: 21 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.