THEODORA MAY BONSALL NPI 1598278251

NPI Information

  • NPI: 1598278251
  • Provider Name: THEODORA MAY BONSALL
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 3200 ADELINE ST
    BERKELEY, CA
    ZIP 94703
  • Phone: (510) 601-0203

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NPI Details

Theodora May Bonsall is a clinical social worker in Berkeley, CA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Theodora May Bonsall NPI is 1598278251. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3200 ADELINE ST
BERKELEY, CA
ZIP 94703-407
Phone: (510) 601-0203

The enumeration date for this NPI number is 11/15/2017 and was last updated on 12/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health111855CALIFORNIANo
2104100000XSocial Worker111855CALIFORNIANo
3101Y00000XCounselorNo
4104100000XSocial WorkerNo
5171M00000XCase Manager/Care CoordinatorNo
61041C0700XSocial WorkerClinical135965CALIFORNIAYes
7390200000XStudent in an Organized Health Care Education/Training ProgramNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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