Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. BLAIR L WYNN LCSW
NPI 1366038432
Social Worker - Clinical in Riverton, UT

Active since December 14, 2020PECOS Enrolled
12569 S 2700 W, RIVERTON, UT 84065(801) 209-9797 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 17, 2026, May 2, 2024, Dec 14, 2020 (3 updates tracked since 2020).

About Mrs. Blair L Wynn Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. BLAIR L WYNN LCSW (NPI 1366038432) is an individual clinical provider in Riverton, Utah, licensed in Utah (12837621-3501) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366038432
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. BLAIR L WYNNCredential: LCSW
Location Address12569 S 2700 WRiverton, UT 84065-7182
Mailing Address12569 S 2700 WRiverton, UT 84065-7182 · (801) 209-9797
Sole ProprietorNo
Enumeration DateDecember 14, 2020
Last NPPES UpdateSeptember 17, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1366038432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 12837621-3501
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
12569 S 2700 W, Riverton, UT 84065

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Blair L Wynn Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
12569 S 2700 W
RIVERTON, UT 84065
Counselor (Professional)
12569 S 2700 W
RIVERTON, UT 84065
Counselor (Mental Health)
12569 S 2700 W
RIVERTON, UT 84065
Counselor (Mental Health)
12569 S 2700 W
RIVERTON, UT 84065
Social Worker (Clinical)
12569 S 2700 W
RIVERTON, UT 84065
Marriage & Family Therapist
12569 S 2700 W
RIVERTON, UT 84065
Counselor (Professional)
12569 S 2700 W
RIVERTON, UT 84065
Nurse Practitioner
12569 S 2700 W
RIVERTON, UT 84065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blair Wynn's NPI number?

The NPI number for Blair Wynn is 1366038432. It was assigned to this individual provider in the NPPES registry on December 14, 2020.

Where is Blair Wynn located?

Blair Wynn practices at 12569 S 2700 W, Riverton, UT 84065. The listed phone number is (801) 209-9797.

What is Blair Wynn's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Blair Wynn enrolled in Medicare?

Yes. Blair Wynn is registered in the Medicare PECOS enrollment system.

What insurance does Blair Wynn accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Blair Wynn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blair Wynn was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.