Individual provider Active NPI

Gwendolynn Skeen

  • Social Worker
  • Farmington, UT
National Provider Identifier
1225495989
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
172 N East Promontory Ste 270
Farmington, UT 84025-2964
Phone
(801) 382-8238
Fax
(866) 560-4702
NPI assigned
Jan 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10720578-3501 UT
Social Worker 104100000X Primary

Addresses

Primary practice location

172 N East Promontory Ste 270
Farmington, UT 84025-2964

Mailing address

2387 S 2050 W
Syracuse, UT 84075-9365
Phone (801) 682-7684

Other practice location 1

2387 S 2050 W
Syracuse, UT 84075-9365
Phone (801) 682-7684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10720578-3501UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CS Psychiatry, P.C. CurrentSince Aug 10, 2025 Accepting new patients

Locations

172 N East Promontory
Ste 270
Farmington, UT 84025
Phone (801) 382-8238

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1225495989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2387 S 2050 W",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840759365",
            "telephone_number": "801-682-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 N EAST PROMONTORY STE 270",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252964",
            "telephone_number": "801-382-8238",
            "fax_number": "866-560-4702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2387 S 2050 W",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "UT",
            "postal_code": "840759365",
            "country_code": "US",
            "telephone_number": "801-682-7684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKEEN",
        "first_name": "GWENDOLYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10720578-3501",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.