Bethany Theodore, LCSW is a
Social Worker - Clinical based in San Jose, California. Bethany Theodore is licensed to practice in California (license number 90745) and her current practice location is
99 Almaden Blvd Ste 600, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(707) 527-2064.
NPI number for Bethany Theodore is 1427465277 and her current mailing address is Po Box 7614, Newark, Delaware. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427465277.
Healthcare Provider's Profile
Full Name | Bethany Theodore |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 99 Almaden Blvd Ste 600, San Jose, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427465277
- Provider Enumeration Date: 07/14/2014
- Last Update Date: 09/09/2023
Medical Identifiers
Medical identifiers for Bethany Theodore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427465277 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW59950 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 90745 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bethany Theodore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bethany Theodore, LCSW Po Box 7614, Newark, DE 19714-7614 Ph: (484) 602-9681 | Bethany Theodore, LCSW 99 Almaden Blvd Ste 600, San Jose, CA 95113-6489 Ph: (707) 527-2064 |
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