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

Isaac London Wanberg

Individual provider Social Worker · NPI 1467759670

Isaac London Wanberg is a Clinical Social Worker in Logan, Utah. Qualified in 2020, 6 years ago. Practices with Bear River Mental Health Services Inc, a 29-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2011
Specialties on file
2

Practice location Address checks out

90 E 200 N
Logan, UT 84321-4034
Phone: (435) 750-0750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 9572110-3502 (UT)
Social Worker Taxonomy 104100000X · Licence 9572110-3503 (UT)

Record details

NPI number1467759670
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 24, 2011
Last updated in NPPESSeptember 2, 2020
Certification dateAugust 31, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Bear River Mental Health Services Inc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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