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

Gavin Theofield, LCSW

Individual provider Clinical Social Worker · NPI 1043729965

Gavin Theofield, LCSW is a Clinical Social Worker in Matthews, North Carolina. Works from 2 locations. Licensed in Hawaii and North Carolina.

Licensed in
HI, NC
In the registry since
2017
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

855 Sam Newell Rd Ste 100
Matthews, NC 28105-7593
Phone: (704) 360-3637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1561 Nunnelly Ln Apt 308, Fort Mill, SC 29708-0098 — (631) 704-2820

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C017506 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW-5121 (HI)

Record details

NPI number1043729965
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 22, 2017
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024
Mailing address1561 Nunnelly Ln Apt 308, Fort Mill, SC 29708-0098

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