Gabrielle Theobald-Anderson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

101458 Issued in CA

Practice address

1515 Quintara St
San Francisco, CA 94116-1273

Phone

(510) 345-1474

NPI assigned

Oct 3, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1558085407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5432 GEARY BLVD UNIT 630",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941212307",
            "telephone_number": "510-345-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 QUINTARA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161273",
            "telephone_number": "510-345-1474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5432 Geary Blvd Unit 630",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941212307",
            "country_code": "US",
            "telephone_number": "510-345-1474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEOBALD-ANDERSON",
        "first_name": "GABRIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "101458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna K Theisen, NP
• Trudy Theiss, RD
• Tanisha Thelemaque, PHD
• Martin Thelin, MD, PHD
• Catherine Theo, M.D.
• Shana Theobald, M.D.
• Pierre R Theodore, MD
• Zlatena Theodore, PSY.D.
• Philip V Theodosopoulos, M.D.
• Amanda Yvette Theolet, CLINICAL NURSE LEADE

• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.