Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Theresia Choi Bae, LICENSE, PSYCHOLOGIS

Individual provider Clinical Social Worker · NPI 1093767204

Theresia Choi Bae, LICENSE, PSYCHOLOGIS is a Clinical Social Worker in Van Nuys, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
5
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Practice location Address checks out

15350 Sherman Way Ste 200
Van Nuys, CA 91406-4458
Phone: (818) 267-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 520 So. Lafayette Pk. Pl. 3rd Floor, La, CA 90057 — (213) 252-2100
  • 2121 W Temple St, Los Angeles, CA 90026-4915 — (213) 385-5100

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 33325 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCS23286 (CA)
Rehabilitation Practitioner Taxonomy 225400000X
Rehabilitation Counselor Taxonomy 225C00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093767204
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICENSE , PSYCHOLOGIS
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESJuly 13, 2022
Certification dateJuly 13, 2022

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