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

Marilee Vanwagenen, LCSW

Individual provider Counselor · NPI 1639630916

Marilee Vanwagenen, LCSW is a Counselor in Provo, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2019
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

151 S University Ave Ste 3200
Provo, UT 84601-4427
Phone: (801) 851-7128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 140473-3501 (UT)

Record details

NPI number1639630916
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 28, 2019
Last updated in NPPESMarch 28, 2019
Mailing address151 S University Ave Ste 3200, Provo, UT 84601-4427

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