Blair L Wynn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12837621-3501 Issued in UT

Practice address

12569 S 2700 W
Riverton, UT 84065-7182

Phone

(801) 209-9797

NPI assigned

Dec 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• A New View Counseling and Psychological Services

  • Clinical Social Worker
  • Riverton, UT
  • NPI 1730654831
  NPD
• Utah Autism Academy

  • Developmentally Disabled Services Day Training Agency
  • Midvale, UT
  • NPI 1972934537
  NPD (past)

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1366038432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12569 S 2700 W",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657182",
            "telephone_number": "801-209-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12569 S 2700 W",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657182",
            "telephone_number": "801-209-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "BLAIR",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12837621-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Taylor Wray, D.O.
• Charlotte Wray, LCSW
• Chris Wright
• Olivia Wright
• Olivia Wright
• Kimberlie Keyser Yadon, FNP
• Kevin Llewellyn Yeager, D.D.S.
• Young Family Dental-Riverton
• Chelsea Sarah Young
• Elizabeth Young, DPT

• Clinical Social Worker in Riverton, UT
• Providers in Riverton, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.