Individual provider · Type 1 NPI

Nicole Marie Theriault, LICSW

Clinical Social Worker · Plymouth, MA

NPI number 1275777419 Active

Practice location

139 Sandwich St
Plymouth, MA 02360

Other practice locations

  • 220 Danville Corner Rd, Auburn, ME 04210-8605 · (207) 871-1211

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLC13137 (ME)
Clinical Social Worker Primary 1041C0700X000121054 (MA)

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 1275777419

Nicole Marie Theriault, LICSW's National Provider Identifier is 1275777419, issued on Apr 30, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Plymouth, MA. The record was last updated on Jun 5, 2018.