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

Bethany Theodore, LCSW

Individual provider Mental Health Counselor · NPI 1427465277

Bethany Theodore, LCSW is a Mental Health Counselor in San Jose, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

99 Almaden Blvd Ste 600
San Jose, CA 95113-6489
Phone: (707) 527-2064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 90745 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence ASW59950 (CA)

Record details

NPI number1427465277
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 14, 2014
Last updated in NPPESSeptember 9, 2023
Certification dateAugust 18, 2023

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