Individual provider · Type 1 NPI

Moriah Irael Thibodeau, LCSW, LICSW

Clinical Social Worker · Hartford, CT

NPI number 1972125441 Active

Practice location

80 Seymour St
Hartford, CT 06102-8000

Call (860) 972-4061 Map

Mailing address

PO Box 5037
Hartford, CT 06102-5037

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X4925 (CT)
Clinical Social Worker 1041C0700X124530 (MA)
Clinical Social Worker Primary 1041C0700X11705 (CT)

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 1972125441

Moriah Irael Thibodeau, LCSW, LICSW's National Provider Identifier is 1972125441, issued on May 7, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hartford, CT. The record was last updated on Feb 8, 2024.