Theresa Ipolito, CSW
NPI 1194499749ActiveIndividual· Social Worker, Clinical· Salt Lake City, UT
Social Worker, Clinical (CSW) with Numinus Wellness Ut Inc, practicing in Salt Lake City, Utah. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1194499749 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CSW |
| Sole proprietor | No |
| NPI issued | Aug 6, 2021 |
| Last updated in NPPES | Feb 1, 2024 |
| Certified by provider | Feb 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 13427226-3502 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (UT) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Numinus Wellness Ut IncLayton, UT · 50 clinicians
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