Vicki Vandenberghe, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

489 W South Jordan Pkwy Ste 257
South Jordan, UT 84095-3979

Phone

(385) 220-7867

NPI assigned

Apr 18, 2024

Sex

Female

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

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1750136313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 W SOUTH JORDAN PKWY STE 257",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953979",
            "telephone_number": "385-220-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 W SOUTH JORDAN PKWY STE 257",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953979",
            "telephone_number": "385-220-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENBERGHE",
        "first_name": "VICKI",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eve Van Wagoner, PHARMD
• Kyle Allan Vance
• McKenzi Vance, PT
• Paige Vandersloot, LMFT
• Mitchel Jay Vanwagoner, LCSW
• Vanzo-Koch Enterprises, LLC
• Rena Jean Vanzo, MS, LCGC
• Amie Sue Vargas, M.S., CCC-SLP

• All providers in South Jordan, UT
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.