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

Teresa Fennelly, LCSW

Individual provider Clinical Social Worker · NPI 1265597983

Teresa Fennelly, LCSW is a Clinical Social Worker in San Rafael, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

1 Saint Vincents Dr
San Rafael, CA 94903-1504
Phone: (415) 507-2000
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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 LCS16689 (CA)

Record details

NPI number1265597983
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 22, 2006
Last updated in NPPESOctober 19, 2011

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