Frederick Van Der Veur, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1163593501 Issued in UT

Practice address

1020 South Main Street
242
Salt Lake City, UT 84101

Phone

(801) 539-7093

NPI assigned

Jan 30, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Intermountain Mental Health, Inc.

  • Psychologist
  • Millcreek, UT
  • NPI 1588847008
  NPD (past)
• Valley Mental Health Incorporated

  • Geriatric Psychiatry Physician
  • Salt Lake City, UT
  • NPI 1366408874

  Clinical

  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1780655407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901173",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840901173",
            "telephone_number": "801-580-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SOUTH MAIN STREET",
            "address_2": "242",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84101",
            "telephone_number": "801-539-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER VEUR",
        "first_name": "FREDERICK",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1163593501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780655407",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS",
            "identifier": "11635935003001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LSCW LICENSE #",
            "identifier": "1163593501",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00204131",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Abigail Van Buskirk
• Dayna Van Cott
• Annemarie Elizabeth Van Couwenberghe
• Mallory Van de Graff, PTA
• Francisca Van Der Schyff, MD
• Tineke E Van Dijk, CASE WORKER
• Andrea Van Drunen
• Rebecca Van Dyck
• Nathan Van Dyke
• John James Van Epps

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, 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 Aug 2, 2012; 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.