Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cornelius Isaac Van Roosendaal

Individual provider Social Worker · NPI 1972228807

Cornelius Isaac Van Roosendaal is a Social Worker in Provo, Utah. Licensed in Utah. Registered with an NPI since 2022.

Licensed in
UT
In the registry since
2022
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Practice location Address checks out

1161 E 300 N
Provo, UT 84606-3539
Phone: (801) 373-4760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 14267276-3503 (UT)

Record details

NPI number1972228807
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 4, 2022
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026

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