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CORNELIUS ISAAC VAN ROOSENDAAL
NPI 1972228807
Social Worker in Provo, UT

Active since October 04, 2022

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2025, Oct 4, 2022 (2 updates tracked since 2022).

About Cornelius Isaac Van Roosendaal NPPES

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

CORNELIUS ISAAC VAN ROOSENDAAL (NPI 1972228807) is an individual social worker in Provo, Utah, licensed in Utah (14267276-3503) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1972228807
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameCORNELIUS ISAAC VAN ROOSENDAAL
Location Address1161 E 300 NProvo, UT 84606-3539
Mailing Address750 N Freedom BlvdProvo, UT 84601-1677 · (801) 373-4760
Phone(801) 373-4760
Sole ProprietorNo
Enumeration DateOctober 4, 2022
Last NPPES UpdateFebruary 11, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2026
✔ NPI 1972228807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in UT · 14267276-3503
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1161 E 300 N, Provo, UT 84606
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Other Providers at the Same Location NPPES 20

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

LINDSEY FEIL
Student in an Organized Health Care Education/Training Program
1161 E 300 N
PROVO, UT 84606
Utah County (801) 373-4765
ELENA LOHREY
Student in an Organized Health Care Education/Training Program
1161 E 300 N
PROVO, UT 84606
Utah County (801) 226-5437
BERKELEY RUNIA
Case Manager/Care Coordinator
1161 E 300 N
PROVO, UT 84606
Utah County (801) 373-4760
ADRIENNE I DUFFANY CSW
Social Worker (Clinical)
1161 E 300 N
PROVO, UT 84606
Utah County (801) 852-4514
LARISSA LARSON
Case Manager/Care Coordinator
1161 E 300 N
PROVO, UT 84606
Utah County (801) 373-4760
REBECCA FAITH LOVELL MCKAY
Case Manager/Care Coordinator
1161 E 300 N
PROVO, UT 84606
Utah County (801) 373-4760
SATHVICA KOMMU
Case Manager/Care Coordinator
1161 E 300 N
PROVO, UT 84606
Utah County (801) 226-5437
ALYSSA KAITE OLSON
Student in an Organized Health Care Education/Training Program
1161 E 300 N
PROVO, UT 84606
Utah County (801) 373-4760

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 Cornelius Van Roosendaal's NPI number?

The NPI number for Cornelius Van Roosendaal is 1972228807. It was assigned to this individual provider in the NPPES registry on October 4, 2022.

Where is Cornelius Van Roosendaal located?

Cornelius Van Roosendaal practices at 1161 E 300 N, Provo, UT 84606. The listed phone number is (801) 373-4760.

What is Cornelius Van Roosendaal's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Cornelius Van Roosendaal was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.