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MITCHEL JAY VANWAGONER
NPI 1861056343
Social Worker - Clinical in Draper, UT

Active since April 30, 2019
12608 S 125 W STE E, DRAPER, UT 84020(801) 679-6669 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 15, 2023, Apr 30, 2019 (2 updates tracked since 2019).

About Mitchel Jay Vanwagoner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITCHEL JAY VANWAGONER (NPI 1861056343) is an individual clinical provider in Draper, Utah, licensed in Utah (11780474-3502) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1861056343
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMITCHEL JAY VANWAGONER
Location Address12608 S 125 W STE EDraper, UT 84020-8437
Mailing Address12608 S 125 W Ste EDraper, UT 84020-8437 · (801) 679-6669
Phone(801) 679-6669
Sole ProprietorNo
Enumeration DateApril 30, 2019
Last NPPES UpdateMarch 15, 20232 updates tracked since enumeration
NPPES CertifiedMarch 15, 2023
✔ NPI 1861056343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 11780474-3502
Definition
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
12608 S 125 W STE E, Draper, UT 84020
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Utah.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA JEAN SORENSON CMHC
Counselor (Mental Health)
12608 S 125 W STE E
DRAPER, UT 84020
Salt Lake County (385) 213-9969
SHAWN MANSELL LCSW
Social Worker (Clinical)
12608 S 125 W STE E
DRAPER, UT 84020
Salt Lake County (801) 499-4179
DEER HOLLOW OUTPATIENT SERVICES, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
12608 S 125 W STE E
DRAPER, UT 84020
Salt Lake County (801) 810-1119
ROBIN LYNN O'DELL AMFT/SUD-C
Counselor (Addiction (Substance Use Disorder))
12608 S 125 W STE E
DRAPER, UT 84020
Salt Lake County (801) 810-1119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitchel Vanwagoner's NPI number?

The NPI number for Mitchel Vanwagoner is 1861056343. It was assigned to this individual provider in the NPPES registry on April 30, 2019.

Where is Mitchel Vanwagoner located?

Mitchel Vanwagoner practices at 12608 S 125 W Ste E, Draper, UT 84020. The listed phone number is (801) 679-6669.

What is Mitchel Vanwagoner's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Mitchel Vanwagoner accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Utah list Mitchel Vanwagoner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitchel Vanwagoner was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.