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

Theresa Ipolito LCSW PLLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1689519134

Theresa Ipolito LCSW PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Salt Lake City, Utah. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

688 E 3rd Ave
Salt Lake City, UT 84103-3452
Phone: (716) 725-8542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1689519134
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theresa Ipolito — Owner/Therpist · (716) 725-8542
NPI enumeratedApril 21, 2026
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address688 E 3rd Ave, Salt Lake City, UT 84103-3452

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