Healthcare Provider Details

I. General information

NPI: 1629984430
Provider Name (Legal Business Name): ASHLEY NICOLE SHIBA HILL CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3585 WASHINGTON BLVD
OGDEN UT
84403-1033
US

IV. Provider business mailing address

1289 S 1650 W
SYRACUSE UT
84075-9485
US

V. Phone/Fax

Practice location:
  • Phone: 801-645-6413
  • Fax:
Mailing address:
  • Phone: 801-645-6413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number14288349-3502
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: