Individual provider · Type 1 NPI

Blair L. Wynn, LCSW

Clinical Social Worker · Riverton, UT

NPI number 1366038432 Active

Practice location

12569 S 2700 W
Riverton, UT 84065-7182

Call (801) 209-9797 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X12837621-3501 (UT)

Clinical Social Worker: 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 interpers…

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About NPI 1366038432

Blair L. Wynn, LCSW's National Provider Identifier is 1366038432, issued on Dec 14, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Riverton, UT. The record was last updated on Sep 17, 2026.