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MS. THERESA A HOLLERAN LCSW
NPI 1073536488
Social Worker - Clinical in Salt Lake City, UT

Active since July 26, 2006Opted out of Medicare · through Apr 1, 2027
150 S 600 E STE 7C, SALT LAKE CITY, UT 84102(801) 524-0560(801) 364-2585 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ms. Theresa A Holleran Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. THERESA A HOLLERAN LCSW (NPI 1073536488) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (1200673501) and active in the NPI registry since July 2006. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1073536488
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. THERESA A HOLLERANCredential: LCSW
Location Address150 S 600 E STE 7CSalt Lake City, UT 84102-1989
Mailing Address150 S 600 E Ste 7cSalt Lake City, UT 84102-1989 · (801) 524-0560 · Fax (801) 364-2585
Phone(801) 524-0560
Fax(801) 364-2585
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073536488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 1200673501
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
150 S 600 E STE 7C, Salt Lake City, UT 84102
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Other Names 1

Professional Name (2)Ms. Teri A Holleran Lcsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Theresa A Holleran Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2015 through April 1, 2027.

Opt-Out Effective DateApril 1, 2015
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHARON T. WALLS LMFT
Marriage & Family Therapist
150 S 600 E STE 7C
SALT LAKE CITY, UT 84102
Salt Lake County (307) 690-1877
LUNA Y SOL LLC
Exclusive Provider Organization
150 S 600 E STE 7C
SALT LAKE CITY, UT 84102
Salt Lake County (801) 949-1993
RED ROCK COUNSELING & EDUCATION
Counselor (Mental Health)
150 S 600 E STE 7C
SALT LAKE CITY, UT 84102
Salt Lake County (801) 524-0560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Holleran's NPI number?

The NPI number for Theresa Holleran is 1073536488. It was assigned to this individual provider in the NPPES registry on July 26, 2006. The provider is also known as Ms. Teri A Holleran Lcsw.

Where is Theresa Holleran located?

Theresa Holleran practices at 150 S 600 E Ste 7C, Salt Lake City, UT 84102. The listed phone number is (801) 524-0560.

What is Theresa Holleran's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Theresa Holleran enrolled in Medicare?

No. Theresa Holleran has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Theresa Holleran was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.