Vance Anderson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

261721-3501 Issued in UT

Practice address

269 W 3300 S
Ogden, UT 84401-3845

Phone

(801) 393-2742

Fax

(801) 393-2184

NPI assigned

Nov 18, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1700250453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4763 BRINKER AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034242",
            "telephone_number": "801-979-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 W 3300 S",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844013845",
            "telephone_number": "801-393-2742",
            "fax_number": "801-393-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "VANCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "261721-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean D Anderson, D.O.
• Tamara Anderson, M.S., CCC-SLP
• Tamara Lynn Anderson, PTA
• Tyler Anderson
• Tyler Aldon Anderson
• Anderton Dental Group
• Brett Anderton, DDS
• Eric B Anderton, DDS
• Jared G Anderton, DDS
• Travis Andreasen

• Clinical Social Worker in Ogden, UT
• Providers in Ogden, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.