Theresa Ipolito LCSW PLLC

Primary specialty

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

Legal business name

THERESA IPOLITO LCSW PLLC

Practice address

688 E 3Rd Ave
Salt Lake City, UT 84103-3452

Phone

(716) 725-8542

NPI assigned

Apr 21, 2026

Last updated

Sep 15, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Theresa Ipolito, LCSWNPI 1194499749

Title

Owner/Therpist

Phone

(716) 725-8542

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theresa Ipolito, CSW

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1194499749
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1689519134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 E 3RD AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841033452",
            "telephone_number": "716-725-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 E 3RD AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841033452",
            "telephone_number": "716-725-8542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 N 300 W Ste 1",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841031595",
            "country_code": "US",
            "telephone_number": "716-725-8542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERESA IPOLITO LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "IPOLITO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER/THERPIST",
        "authorized_official_telephone_number": "716-725-8542",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Katerina Theodossiou
• Theory and Method Therapy Collective
• Amy Theos, MD
• Therapeak, Inc.
• Therapeutic Lifestyle Center of Utah
• Kevin Theriot, PH.D.
• Craig Brook Theurer, D.D.S.
• Daniel Jay Theurer, D.D.S.
• Jared M Theurer, D.D.S.
• Molly Theurer, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.