SHANNON LOUISE VANDERKOOI (NPI# 1023366127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023366127 |
| Entity Type | Individual |
| Full Name | SHANNON LOUISE VANDERKOOI |
| Credential | L.C.S.W. |
| Practice Address |
5698 W Glen Eagle Dr West Valley City UT 84128-4013 |
| Mailing Address |
6671 W Haven Maple Dr West Jordan UT 84081-2957 |
| Practice Telephone | 8019694181 |
| Mailing Telephone | 8013040943 |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
54237883501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
5698 W GLEN EAGLE DR |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84128-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255566881 | James Tekulve Vann | Marriage & Family Therapist | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2009-05-27 |
| 1760098842 | Lloyd Joseph Stanton Jr. | Social Worker | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2020-09-23 |
| 1942813126 | Kelsey Lin Peterson | Social Worker | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2020-08-26 |
| 1083261747 | Rachel Beth Holt Wininger | Social Worker | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2019-08-19 |
| 1568925386 | Aubrae Putnam | Counselor | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2019-04-09 |
| 1407337116 | Katarina Dushku | Counselor | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2018-08-22 |
| 1417447400 | Angela Michelle Demelo | Social Worker | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2018-05-15 |
| 1972017804 | Adrianna Melinda Pahulu | Counselor | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2017-11-30 |
| 1114357712 | Trenton Keppner | Student in an Organized Health Care Education/Training Program | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2013-11-18 |
| 1427488436 | Vanessa Lagemann | Social Worker | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2013-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437572526 | Aimee E Wetzel | Social Worker | 5698 S Glen Eagle Dr, West Valley, UT 84128 | 2014-01-27 |
| 1285903641 | Tu Phan | Pharmacist | 5630 W 4100 South, West Valley City, UT 84128 | 2011-12-14 |
| 1548342553 | Lds Family Services | Counselor | 5698 West Glen Eagle Drive, West Valley City, UT 84128 | 2006-10-19 |
| 1003465725 | Alisa L Harmon | Counselor | Lds Family Services, 5698 Glen Eagle Drive, West Valley City, UT 84128 | 2019-09-05 |
| 1871053199 | Amir Varedi | Student in an Organized Health Care Education/Training Program | 3100 N. Tenaya Way, Graduate Medical Education, Las Vegas, NV 84128-0431 | 2019-03-22 |
| 1417135617 | Tina M Chandler | Dietitian, Registered | 3022 Kapford Dr, West Valley City, UT 84128-1374 | 2008-02-11 |
| 1629415559 | Siuea Pete Kupu | Pharmacist | 3571 S Highlander St, Salt Lake City, UT 84128-2317 | 2013-06-01 |
| 1467731182 | Celia Moleni Ale | Social Worker | 6471 W Newton Farm Dr, West Valley, UT 84128-2408 | 2011-08-11 |
| 1053942466 | Brenda M Woodhouse | Nutritionist | 6104 W Ginny Cir, West Valley, UT 84128-2530 | 2020-02-04 |
| 1245290691 | Rick Hackford | Specialist/Technologist | 6270 W 3705 S, West Valley City, UT 84128-2560 | 2006-03-27 |
| Find all providers in zip 84128 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309421 | Aundrea Dilanchian | Social Worker | 2655 S Lake Erie Dr Ste B, West Valley City, UT 84120-7351 | 2019-07-29 |
| 1821409707 | Hannah Mae Dubose-harting | Social Worker | 3002 S 5990 W, West Valley City, UT 84128-7072 | 2014-05-14 |
| 1215347935 | Karl Edward Jennings | Social Worker | 3901 S David Pl, West Valley City, UT 84119 | 2014-05-02 |
| 1952603540 | Bruce Homer Chandler | Social Worker | 3447 San Carlos Dr, West Valley City, UT 84119-5646 | 2010-12-02 |
| 1164653101 | Laura Elizabeth Lundquist | Social Worker | 3444 W 4400 S, West Valley City, UT 84119-5644 | 2009-08-06 |
| 1760490767 | Sharon C Rishe | Social Worker | 3940 West 4100 South, West Valley City, UT 84120 | 2006-08-04 |
| 1548219355 | Toni Angelia Pegues | Social Worker | 3392 W 3500 S, West Valley City, UT 84119-2630 | 2006-05-09 |
| 1487612149 | Nadia Ekenstam | Social Worker | 3280 W 3500 S Ste E, West Valley City, UT 84119-2668 | 2006-05-03 |
| 1679543185 | Gina Marie Attallah | Social Worker | 2525 S Lake Park Blvd, Optumhealth, West Valley City, UT 84120-8230 | 2006-01-25 |
| 1699754549 | Doranna Pualililehua Daley | Social Worker | 2588 W 2365 S, West Valley City, UT 84119-1249 | 2006-01-10 |
| Find all providers in WEST VALLEY CITY | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84128 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.