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

Theresa Marie Smallwood, LPCC

Individual provider Professional Counselor · NPI 1881351344

Theresa Marie Smallwood, LPCC is a Mental Health Counselor in San Diego, California. Qualified in 2021, 5 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

3636 4th Ave Ste 304
San Diego, CA 92103-4294
Phone: (858) 481-8827
Fax: (858) 244-0990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 317 N El Camino Real Ste 508, Encinitas, CA 92024-2811 — (760) 458-1600

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 10868 (CA)

Record details

NPI number1881351344
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedNovember 19, 2021
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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