SUSAN ANNE THEOBALD LCSW
NPI 1265621445
Social Worker - Clinical in San Rafael, CA

Active since October 23, 2007
1320 GRAND AVE, SAN RAFAEL, CA 94901(415) 747-8965 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Susan Anne Theobald Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN ANNE THEOBALD LCSW (NPI 1265621445) is an individual clinical provider in San Rafael, California, licensed in California (LCS 24082) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1265621445
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN ANNE THEOBALDCredential: LCSW
Location Address1320 GRAND AVESan Rafael, CA 94901-2233
Mailing Address1320 Grand AveSan Rafael, CA 94901-2233 · (415) 747-8965
Sole ProprietorYes
Enumeration DateOctober 23, 2007
NPI 1265621445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · LCS 24082
Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1320 GRAND AVE, San Rafael, CA 94901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Theobald's NPI number?

The NPI number for Susan Theobald is 1265621445. It was assigned to this individual provider in the NPPES registry on October 23, 2007.

Where is Susan Theobald located?

Susan Theobald practices at 1320 Grand Ave, San Rafael, CA 94901. The listed phone number is (415) 747-8965.

What is Susan Theobald's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Susan Theobald was last updated on October 23, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.