Theresa Ipolito, CSW
Theresa Ipolito, CSW is a Clinical Social Worker in Salt Lake City, Utah. Qualified in 2023, 3 years ago. Practices with Numinus Wellness UT Inc, a 51-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 3
- Licensed in
- UT
- In the registry since
- 2021
Practice location Address checks out
154 E Myrtle Ave Ste 204Salt Lake City, UT 84107-4850
Phone: (801) 369-8989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 13427226-3502 (UT) |
|---|
Record details
| NPI number | 1194499749 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CSW |
| Sole proprietor | No |
| NPI enumerated | August 6, 2021 |
| Last updated in NPPES | February 1, 2024 |
| Certification date | February 1, 2024 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Numinus Wellness Ut Inc — 51 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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