Healthcare Provider Details

I. General information

NPI: 1255259164
Provider Name (Legal Business Name): CLARISSA HILL SSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 E 5900 S STE 101
MURRAY UT
84107-7256
US

IV. Provider business mailing address

705 S 600 E APT 2
SALT LAKE CITY UT
84102-3305
US

V. Phone/Fax

Practice location:
  • Phone: 801-261-5790
  • Fax: 801-261-5794
Mailing address:
  • Phone: 801-450-7709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number14043304-3503
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: