Individual provider · Type 1 NPI

Mary Juanita Thibodeaux, LCSW

Clinical Social Worker · Liberty, MO

NPI number 1801004510 Active

Practice location

7 Westowne
Liberty, MO 66068

Call (816) 407-1754 Map

Mailing address

1012 E 76th St
Kansas City, MO 64131-2008

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2002024986 (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 1801004510

Mary Juanita Thibodeaux, LCSW's National Provider Identifier is 1801004510, issued on May 18, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Liberty, MO. The record was last updated on Mar 30, 2010.