Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Teodulo Cruz Bonzon, LCSW

Individual provider Clinical Social Worker · NPI 1497039192

Mr. Teodulo Cruz Bonzon, LCSW is a Clinical Social Worker in Glendale, California. Qualified in 1995, 31 years ago. Practices as a sole proprietor and offers telehealth. Licensed in California.

Years since qualifying
31
Licensed in
CA
In the registry since
2011
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

3013 Annita Dr
Glendale, CA 91206-1302
Phone: (818) 846-4469
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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 LCS19646 (CA)

Record details

NPI number1497039192
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 30, 2011
Last updated in NPPESDecember 30, 2019
Certification dateDecember 30, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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