Individual provider · Type 1 NPI
Matthew John Thibault, LCSW
Clinical Social Worker · Windham, ME
Practice location
86 Tandberg Trail
Windham, ME 04062-3411
Mailing address
PO Box 1360
Windham, ME 04062-1360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LC12551 (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 1285835611
Matthew John Thibault, LCSW's National Provider Identifier is 1285835611, issued on May 31, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Windham, ME. The record was last updated on Jan 4, 2019.