Individual provider · Type 1 NPI

Cornelius Isaac Van Roosendaal

Social Worker · Provo, UT

NPI number 1972228807 Active

Practice location

1161 E 300 N
Provo, UT 84606-3539

Mailing address

750 N Freedom Blvd
Provo, UT 84601-1677

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000X14267276-3503 (UT)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1972228807

Cornelius Isaac Van Roosendaal's National Provider Identifier is 1972228807, issued on Oct 4, 2022. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Provo, UT. The record was last updated on Feb 11, 2026.