Individual provider · Type 1 NPI

Patrice Thibodeau, LCSW

Clinical Social Worker · Farmington, MO

NPI number 1255799185 Active

Practice location

400 N Washington St, Suite 116
Farmington, MO 63640-1716

Call (573) 218-9653 Map

Fax (573) 803-1405

Mailing address

2909 Independence St
Cape Girardeau, MO 63703-5044

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2015035786 (MO)

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 1255799185

Patrice Thibodeau, LCSW's National Provider Identifier is 1255799185, issued on Feb 6, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Farmington, MO. The record was last updated on Feb 6, 2016.