Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Source Therapy Licensed Clinical Social Worker Services APC

Organization Clinical Social Worker · NPI 1740779164

Source Therapy Licensed Clinical Social Worker Services APC is a Clinical Social Worker in San Marcos, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
What do these letters mean?
APC — A professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1582 W San Marcos Blvd Ste 105
San Marcos, CA 92078-4081
Phone: (760) 522-7158
Fax: (760) 539-7357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 27130 (CA)

Record details

NPI number1740779164
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carolyn Bowe-McLeod — Billing Manager · (760) 433-7944
Other names Michelle M. Colarusso, Lcsw
NPI enumeratedMay 2, 2018
Last updated in NPPESFebruary 17, 2023
Certification dateJune 16, 2022
Mailing address1582 W San Marcos Blvd Ste 105, San Marcos, CA 92078-4081

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