Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN ANNE THEOBALD, LCSW
Active Sole ProprietorSUSAN ANNE THEOBALD, LCSW is a Clinical Social Worker healthcare provider located in SAN RAFAEL, California. NPI 1265621445 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1265621445
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 23, 2007 (18.818377809172 yrs)
- Last Updated
- Oct 23, 2007
- License
-
LCS 24082 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1320 GRAND AVESAN RAFAEL, CA, 949012233Browse CA providers · Browse ZIP 94901
- Phone
- 4157478965
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in SAN RAFAEL, CA
| Name | Credential | NPI |
|---|---|---|
| MR. ALAN KAUFMAN | L.C.S.W. | 1871527416 |
| MS. KRISTINE Y KWOK | LCSW | 1730108549 |
| MS. JOANNE L. BENDER | LCSW | 1841214202 |
| GAIL MOSCONI | LCSW | 1902910342 |
| MS. CAYLA WERNER COLEMAN | LCSW | 1194831891 |
| MR. JEFFREY S LEVIN | LCSW | 1740382423 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.