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

Individual provider Clinical Social Worker · NPI 1265621445

Susan Anne Theobald, LCSW is a Clinical Social Worker in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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

1320 Grand Ave
San Rafael, CA 94901-2233
Phone: (415) 747-8965
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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 LCS 24082 (CA)

Record details

NPI number1265621445
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 23, 2007
Last updated in NPPESOctober 23, 2007

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