Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Theldon Fryberger Jr., MSW, LCSW

Individual provider Clinical Social Worker · NPI 1568598092

Mr. Theldon Fryberger Jr., MSW, LCSW is a Clinical Social Worker in Calimesa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

1012 Night Shade Rd
Calimesa, CA 92320-4904
Phone: (760) 805-9872
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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 LCSW 22034 (CA)

Record details

NPI number1568598092
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedFebruary 26, 2007
Last updated in NPPESMarch 1, 2021
Certification dateMarch 1, 2021

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