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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MITCHEL JAY VANWAGONER LCSW
NPI 1861056343
Social Worker - Clinical in South Jordan, UT

Active since April 30, 2019
5048 W DUCKHORN DR, SOUTH JORDAN, UT 84009(385) 212-4062 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 20, 2026, Mar 15, 2023, Apr 30, 2019 (3 updates tracked since 2019).

About Mitchel Jay Vanwagoner Lcsw NPPES

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

MITCHEL JAY VANWAGONER LCSW (NPI 1861056343) is an individual clinical provider in South Jordan, Utah, licensed in Utah (11780474-3501) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1861056343
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMITCHEL JAY VANWAGONERCredential: LCSW
Location Address5048 W DUCKHORN DRSouth Jordan, UT 84009-8121
Mailing Address5048 W Duckhorn DrSouth Jordan, UT 84009-8121 · (385) 212-4062
Phone(385) 212-4062
Sole ProprietorNo
Enumeration DateApril 30, 2019
Last NPPES UpdateAugust 20, 20263 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ 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 · 11780474-3501
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
5048 W DUCKHORN DR, South Jordan, UT 84009
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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 ›

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 5048 W Duckhorn Dr, South Jordan, UT 84009. The listed phone number is (385) 212-4062.

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 August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.