Individual provider · Type 1 NPI

Bethany Theodore, LCSW

Clinical Social Worker · San Jose, CA

NPI number 1427465277 Active

Practice location

99 Almaden Blvd Ste 600
San Jose, CA 95113-6489

Call (707) 527-2064 Map

Mailing address

PO Box 7614
Newark, DE 19714-7614

Other practice locations

  • 7425 Rancho Los Guilicos Rd, Santa Rosa, CA 95409-6519 · (707) 565-8682

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XASW59950 (CA)
Clinical Social Worker Primary 1041C0700X90745 (CA)

Clinical Social Worker: 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 interpers…

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About NPI 1427465277

Bethany Theodore, LCSW's National Provider Identifier is 1427465277, issued on Jul 14, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Jose, CA. The record was last updated on Sep 9, 2023.