Healthcare Provider Details

I. General information

NPI: 1639055312
Provider Name (Legal Business Name): CHRISTIAN ESPINOSA LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 KANAKANAK ROAD PO BOX 130
DILLINGHAM AK
99576
US

IV. Provider business mailing address

6000 KANAKANAK ROAD PO BOX 130
DILLINGHAM AK
99576
US

V. Phone/Fax

Practice location:
  • Phone: 907-842-1230
  • Fax:
Mailing address:
  • Phone: 907-842-1230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: