Individual provider · Type 1 NPI
Brandon Ronald Thibeault, LICSW, LCSW
Clinical Social Worker · Newport, RI
Practice location
20 Russell Ave
Newport, RI 02840-1724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 93042 (CA) |
| Clinical Social Worker Primary | 1041C0700X | ISW03070 (RI) |
Clinical Social Worker: 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 interpers…
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About NPI 1053947028
Brandon Ronald Thibeault, LICSW, LCSW's National Provider Identifier is 1053947028, issued on Mar 21, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newport, RI. The record was last updated on Nov 27, 2023.