Individual provider · Type 1 NPI

Melissa Tacy Illario

Clinical Social Worker · Anaheim, CA

NPI number 1629632575 Active

Practice location

1044 N Anaheim Blvd Unit 2
Anaheim, CA 92801-7567

Call (801) 615-3160 Map

Fax (949) 502-2802

Other practice locations

  • 10362 S Ashley Meadows Cir, Sandy, UT 84092-7200 · (801) 615-3160
  • 1437 E 920 N, Orem, UT 84097-4328 · (801) 899-9375

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X121960 (CA)
Clinical Social Worker 1041C0700X12877651-3501 (UT)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1629632575

Melissa Tacy Illario's National Provider Identifier is 1629632575, issued on Apr 25, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Anaheim, CA. The record was last updated on Apr 15, 2026.