Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marissa Breann Clark

Individual provider Clinical Social Worker · NPI 1720906886

Marissa Breann Clark is a Clinical Social Worker in Riverdale, Utah. Licensed in Utah. Registered with an NPI since 2026.

Licensed in
UT
In the registry since
2026

Practice location Address checks out

4933 S 1500 W Ste 200
Riverdale, UT 84405-7738
Phone: (385) 330-2818
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X (UT)

Record details

NPI number1720906886
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 7, 2026
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

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