Individual provider · Type 1 NPI

Kristin Laverne Thibedeau, L.C.S.W.

Clinical Social Worker · Tarzana, CA

NPI number 1609109867 Active

Practice location

18745 Hatteras St, #48
Tarzana, CA 91356-1468

Fax (818) 705-1754

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW 3749 (CA)

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 1609109867

Kristin Laverne Thibedeau, L.C.S.W.'s National Provider Identifier is 1609109867, issued on Sep 4, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tarzana, CA. The record was last updated on Mar 2, 2010.