Individual provider · Type 1 NPI

Shannon Louise Vanderkooi, L.C.S.W.

Clinical Social Worker · West Valley City, UT

NPI number 1023366127 Active

Practice location

5698 W Glen Eagle Dr
West Valley City, UT 84128-4013

Mailing address

6671 W Haven Maple Dr
West Jordan, UT 84081-2957

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X54237883501 (UT)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1023366127

Shannon Louise Vanderkooi, L.C.S.W.'s National Provider Identifier is 1023366127, issued on Aug 21, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Valley City, UT. The record was last updated on Aug 21, 2012.