Individual provider · Type 1 NPI

Theb Manivanh, LCSW

Clinical Social Worker · Visalia, CA

NPI number 1649459835 Active

Practice location

505 N Court St
Visalia, CA 93291-4912

Call (559) 730-7566 Map

Mailing address

PO Box 1950
Lakeport, CA 95453-1950

Other practice locations

925 Bevins Ct, Lakeport, CA 95453-9754 · (707) 263-8382

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	28251 (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 1649459835

Theb Manivanh, LCSW's National Provider Identifier is 1649459835, issued on Oct 24, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Visalia, CA. The record was last updated on Aug 4, 2025.