IndividualActive
Theresa Taylor, LMSW, SAP, SUDRC
NPI 1053782359 · Addiction (Substance Use Disorder) Counselor · San Diego, CA
Provider details
- NPI number
- 1053782359
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LMSW, SAP, SUDRC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8628 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7545 Metropolitan Dr
San Diego, CA 92108-4402
Phone: (619) 718-9890
Fax: (619) 718-9897
Street-level locationGet directions
Mailing address
100 Park St
Glens Falls, NY 12801-4413
Registry dates
- Enumerated
- 2015-10-13
- Last updated
- 2019-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.