THERESA IPOLITO CSW
NPI 1194499749
Social Worker - Clinical in Salt Lake City, UT

Q: What is Theresa Ipolito's NPI number?

The NPI number for Theresa Ipolito is 1194499749. It was assigned to this individual provider in the NPPES registry on August 6, 2021.

Q: What is Theresa Ipolito's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theresa Ipolito was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 06, 2021PECOS EnrolledAccepts Medicare Assignment

154 E MYRTLE AVE STE 204, SALT LAKE CITY, UT 84107(801) 369-8989 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Theresa Ipolito Csw NPPES

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

THERESA IPOLITO CSW (NPI 1194499749) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (13427226-3502) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194499749

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTHERESA IPOLITOCredential: CSW

Location Address154 E MYRTLE AVE STE 204Salt Lake City, UT 84107-4850

Mailing Address344 E 100 S Ste 301Salt Lake City, UT 84111-1727

Phone(801) 369-8989

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 6, 2021

Last NPPES UpdateFebruary 1, 2024

NPPES CertifiedFebruary 1, 2024

✔ NPI 1194499749 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 · 13427226-3502

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.

154 E MYRTLE AVE STE 204, Salt Lake City, UT 84107

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Ipolito Csw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951826536

PECOS Enrollment IDI20250416000739

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.34 – $166.03

Typical copayment $0.00 (range $13.58 – $41.50)

Most-billed visit code NA

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

SEVON TAROIAN

Social Worker (Clinical)