MEDICARE: ZACHARY HILLYARD 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	136096323501	UT

General Provider Information

NPI Number	:	1376070235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY HILLYARD LCSW

Provider Business Mailing Address
First Line	:	3685 E JUNO CIR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-2236
Country	:	US
Telephone Number	:	801-541-7995
Fax Number	:

Provider Business Practice Location Address
First Line	:	1174 E GRAYSTONE WAY STE 6
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-2671
Country	:	US
Telephone Number	:	801-871-9278
Fax Number	:

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

Provider Enumeration Date	:	05/22/2017
Last Update Date	:	03/05/2026

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