Provider Demographics
NPI:1841907037
Name:ESPLIN, MCKAY (LCSW)
Entity type:Individual
Prefix:
First Name:MCKAY
Middle Name:
Last Name:ESPLIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3940 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VERNAL
Mailing Address - State:UT
Mailing Address - Zip Code:84078-8928
Mailing Address - Country:US
Mailing Address - Phone:435-790-8009
Mailing Address - Fax:
Practice Address - Street 1:1880 W 500 N
Practice Address - Street 2:
Practice Address - City:VERNAL
Practice Address - State:UT
Practice Address - Zip Code:84078-8207
Practice Address - Country:US
Practice Address - Phone:435-781-3110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical