Individual provider · Type 1 NPI

Theresa Ipolito, CSW

Clinical Social Worker · Salt Lake City, UT

NPI number 1194499749 Active

Practice location

154 E Myrtle Ave Ste 204
Salt Lake City, UT 84107-4850

Call (801) 369-8989 Map

Mailing address

344 E 100 S Ste 301
Salt Lake City, UT 84111-1727

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X13427226-3502 (UT)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1194499749

Theresa Ipolito, CSW's National Provider Identifier is 1194499749, issued on Aug 6, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 1, 2024.