Nikki C Killpack, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13427461-3501 Issued in UT

Practice address

471 Heritage Park Blvd Ste 4
Layton, UT 84041-5655

Phone

(801) 609-5515

NPI assigned

May 19, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Nicolette Calton Killpack Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neurobehavioral Center for Growth LLC

  • Psychologist
  • Bountiful, UT
  • NPI 1942641931
  NPD
• Start Therapy Specialized Trauma and Recovery Treatment PLLC

  • Clinical Social Worker
  • Layton, UT
  • NPI 1447064852
  NPD
• Psychological Preventative Health PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Idaho Falls, ID
  • NPI 1649808767
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1962076349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 HERITAGE PARK BLVD STE 4",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415655",
            "telephone_number": "801-609-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 HERITAGE PARK BLVD STE 4",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415655",
            "telephone_number": "801-609-5515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 S 2000 W Ste A101",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "UT",
            "postal_code": "840759612",
            "country_code": "US",
            "telephone_number": "801-609-5515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2036 Lincoln Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844016516",
            "country_code": "US",
            "telephone_number": "801-719-7737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Medical Dr Ste D101",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840108905",
            "country_code": "US",
            "telephone_number": "801-683-1062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILLPACK",
        "first_name": "NIKKI",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "13427461-3502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "13427461-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLETTE",
            "last_name": "KILLPACK",
            "middle_name": "CALTON",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kids Town Pediatric Dentistry
• Mikel Ray Kilfoyle, RN
• Bonnie Kilgannon
• Taya Kilgore
• Ashley Killam
• Christopher Lee Kilpack
• Spencer Randy Kimball, RN
• Jeffrey Kindall
• Kenndalynn King
• Kiffanie Kinghorn

• Clinical Social Worker in Layton, UT
• Providers in Layton, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.