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

Melissa Tacy Illario

Individual provider Clinical Social Worker · NPI 1629632575

Melissa Tacy Illario is a Clinical Social Worker in Anaheim, California. Works from 3 locations. Licensed in California and Utah.

Licensed in
CA, UT
In the registry since
2019
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1044 N Anaheim Blvd Unit 2
Anaheim, CA 92801-7567
Phone: (801) 615-3160
Fax: (949) 502-2802
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 121960 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 12877651-3501 (UT)

Record details

NPI number1629632575
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 25, 2019
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

Other providers in Anaheim