Individual
NIKKI C KILLPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
471 HERITAGE PARK BLVD STE 4, LAYTON, UT 84041-5655
(801) 609-5515
Mailing address
471 HERITAGE PARK BLVD STE 4, LAYTON, UT 84041-5655
(801) 609-5515
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
13427461-3502
UT
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
13427461-3501
UT
Other
Enumeration date
05/19/2021
Last updated
08/14/2025
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