IndividualActive
Melissa Illario
NPI 1629632575 · Clinical Social Worker · Anaheim, CA
Provider details
- NPI number
- 1629632575
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 121960 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1044 N Anaheim Blvd Unit 2
Anaheim, CA 92801-7567
Phone: (801) 615-3160
Fax: (949) 502-2802
Street-level locationGet directions
Mailing address
1044 N Anaheim Blvd Unit 2
Anaheim, CA 92801-7567
Additional practice locations (2)
- 1437 E 920 NOrem, UT 84097-4328Phone: (801) 899-9375
- 10362 S Ashley Meadows CirSandy, UT 84092-7200Phone: (801) 615-3160
Registry dates
- Enumerated
- 2019-04-25
- Last updated
- 2026-04-15
- Certified
- 2026-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.