Healthcare Provider Details

I. General information

NPI: 1407624828
Provider Name (Legal Business Name): SIERRA KATHLEEN MCLAIN LCSW, MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2023
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1104 COUNTRY HILLS DR STE 700
OGDEN UT
84403-2435
US

IV. Provider business mailing address

375 N MAIN ST STE 102
KAYSVILLE UT
84037-1272
US

V. Phone/Fax

Practice location:
  • Phone: 801-989-3488
  • Fax:
Mailing address:
  • Phone: 801-989-3488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8817868-3501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: