THERAVILLE COUNSELING SERVICES, A LCSW CORPORATION
NPI 1366084360
Social Worker - Clinical in San Bernardino, CA

Q: What is Theraville Counseling Services, A Lcsw Corporation's specialty?

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

Active since October 10, 2019

202 E AIRPORT DR STE 265, SAN BERNARDINO, CA 92408(909) 939-5007 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2021, Oct 5, 2021, Feb 10, 2021 and 4 more (7 updates tracked since 2019).

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About Theraville Counseling Services, A Lcsw Corporation NPPES

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

THERAVILLE COUNSELING SERVICES, A LCSW CORPORATION (NPI 1366084360), doing business as Theraville Counseling Services, A Licensed Clinical Social Worker Corp, is a healthcare organization registered as a clinical in San Bernardino, California and active in the NPI registry since October 2019. The organization maintains 2 additional practice locations and lists Crystal Burns, Owner/clinician, as its authorized official.

NPPES Registry Identity

NPI1366084360

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameTHERAVILLE COUNSELING SERVICES, A LCSW CORPORATION

Location Address202 E AIRPORT DR STE 265San Bernardino, CA 92408-3444

Mailing AddressPo Box 559Beaumont, CA 92223-0559 · (951) 386-9709

Phone(909) 939-5007

Organization SubpartNo

Authorized OfficialCrystal BurnsOwner/clinician · (909) 767-3450

Enumeration DateOctober 10, 2019

Last NPPES UpdateNovember 4, 20217 updates tracked since enumeration

NPPES CertifiedNovember 4, 2021

✔ NPI 1366084360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

202 E AIRPORT DR STE 265, San Bernardino, CA 92408

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Other Names 1

Former Legal Business NameTheraville Counseling Services, A Licensed Clinical Social Worker Corp

Secondary Practice Locations 2

Location 111801 Pierce St Ste 200Riverside, CA 92505-4400 · Phone (909) 939-5007 · Fax (951) 602-6508

Location 2473 S Carnegie Dr Ste 200San Bernardino, CA 92408-4201 · Phone (909) 939-5007 · Fax (951) 602-6508

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARTIER OWENS-GANTT

Marriage & Family Therapist