Individual provider Active NPI

Terry Galen, LCSW

  • Clinical Social Worker
  • Moab, UT
National Provider Identifier
1346204476
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1368243501 Issued in UT
Practice address
198 East Center Street
Moab, UT 84532
Phone
(435) 259-6131
Fax
(435) 259-5369
NPI assigned
Apr 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1368243501 UT Primary

Addresses

Primary practice location

198 East Center Street
Moab, UT 84532

Mailing address

PO Box 867
105 West 100 North
Price, UT 84501
Phone (435) 637-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100925000330 UT Practitioner - Clinical Social Worker 8729104880 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1368243501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Four Corners Community Behavioral Health Inc Past Accepting new patients
Four Corners Community Behavioral Health, Inc. PastSince Dec 7, 2013 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346204476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "address_2": "105 WEST 100 NORTH",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "84501",
            "telephone_number": "435-637-7200",
            "fax_number": "435-637-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 EAST CENTER STREET",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "84532",
            "telephone_number": "435-259-6131",
            "fax_number": "435-259-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALEN",
        "first_name": "TERRY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1368243501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moab, UT

Sources for this page

Verify at the official NPI Registry.