Provider Demographics
NPI:1316593239
Name:VANDERHOFF, LAURA L (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:L
Last Name:VANDERHOFF
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 W MAPLE LOOP DRIVE
Mailing Address - Street 2:#300
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043
Mailing Address - Country:US
Mailing Address - Phone:385-336-4740
Mailing Address - Fax:
Practice Address - Street 1:3501 W. MAPLE LOOP DRIVE
Practice Address - Street 2:#300
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043
Practice Address - Country:US
Practice Address - Phone:385-336-4740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-15
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11275795-35021041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical