Kelsey Caroline Fenton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9512633-3501 Issued in UT

Practice address

965 S 100 W Ste 106
Logan, UT 84321-6067

Phone

(435) 554-1119

NPI assigned

Sep 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kelsey Caroline Nelson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 25, 2024 through Mar 25, 2028

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.

• Summit Mental Health LLC

  • Social Worker
  • Logan, UT
  • NPI 1508549957
  NPD Authorized official

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1669875167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 S 100 W STE 106",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216067",
            "telephone_number": "435-554-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 S 100 W STE 106",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216067",
            "telephone_number": "435-554-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "KELSEY",
        "middle_name": "CAROLINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9512633-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "NELSON",
            "middle_name": "CAROLINE",
            "credential": "SSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Lynne Farrell
• Donavan Daniel Faucette, LCSW
• David Faux, M.D.
• Daniela Paz Fawson, PA-S
• Cicily Diane Fenton
• Kerin Mykail Ferguson
• Shari Jan Ferney, NP
• Stephen J Ferney, M.D.
• Wendy Ferre
• Clinton E. Field, PH.D.

• Clinical Social Worker in Logan, UT
• Providers in Logan, 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 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.