MEDICARE: MS. VALYNN ESPINOZA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	350839-3501	UT

General Provider Information

NPI Number	:	1033067186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VALYNN ESPINOZA LCSW

Provider Business Mailing Address
First Line	:	2191 S MCCLELLAND ST APT 543
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-4455
Country	:	US
Telephone Number	:	801-921-0196
Fax Number	:

Provider Business Practice Location Address
First Line	:	2191 S MCCLELLAND ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-3054
Country	:	US
Telephone Number	:	801-921-0196
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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