Individual provider Active NPI

McKenzie Marie Esplin, LCSW

  • Clinical Social Worker
  • Wesley Chapel, FL
National Provider Identifier
1215449285
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18776 Issued in FL
Practice address
2406 Cypress Glen Dr Ste 101
Wesley Chapel, FL 33544-4609
Phone
(801) 210-1184
NPI assigned
Oct 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9812989-3501 UT
Clinical Social Worker 1041C0700X 18776 FL Primary

Addresses

Primary practice location

2406 Cypress Glen Dr Ste 101
Wesley Chapel, FL 33544-4609

Mailing address

29754 Chapel Chase Dr
Wesley Chapel, FL 33545-3016
Phone (435) 215-5991

Other practice location 1

135 N 900 E Ste 2
Saint George, UT 84770-3263
Phone (801) 210-1184

Other practice location 2

763 N 1650 W
Springville, UT 84663-5066
Phone (801) 491-3910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18776FLMDClinical Social Worker
9812989-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Esplin Counseling, LLC Clinical CurrentSince Nov 1, 2023 Accepting new patients

Locations

2406 Cypress Glen Dr
Ste 101
Wesley Chapel, FL 33544
Phone (813) 710-4307

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1215449285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29754 CHAPEL CHASE DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335453016",
            "telephone_number": "435-215-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 CYPRESS GLEN DR STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444609",
            "telephone_number": "801-210-1184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 N 900 E Ste 2",
            "address_purpose": "LOCATION",
            "city": "Saint George",
            "state": "UT",
            "postal_code": "847703263",
            "country_code": "US",
            "telephone_number": "801-210-1184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "763 N 1650 W",
            "address_purpose": "LOCATION",
            "city": "Springville",
            "state": "UT",
            "postal_code": "846635066",
            "country_code": "US",
            "telephone_number": "801-491-3910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPLIN",
        "first_name": "MCKENZIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2022-07-18",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9812989-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "18776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.