Individual provider · Type 1 NPI

John Thibodeau, LCSW

Clinical Social Worker · Portland, ME

NPI number 1205988565 Active

Practice location

1011 Forest Ave
Portland, ME 04103-3304

Call (207) 553-2069 Map

Mailing address

30 Park St, #2
Portland, ME 04101-4515

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC10575 (ME)

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 1205988565

John Thibodeau, LCSW's National Provider Identifier is 1205988565, issued on Jan 17, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, ME. The record was last updated on Jul 8, 2007.