John Thibodeau is a Clinical in Portland, Maine. John Thibodeau practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Thibodeau is 1205988565. The last update date is 2007-07-08.
John Thibodeau's current location address is 1011 Forest Ave, Portland, Maine. You can contact this provider via phone number 2075532069. The mailing address for John Thibodeau is 1011 Forest Ave, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Thibodeau |
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Address | 1011 Forest Ave, Portland, Maine |
Phone Number | 2075532069 |
Fax Number | |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1205988565 |
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Provider Enumeration Date | 2007-01-17 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1011 Forest Ave |
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City | Portland |
State | Maine (ME) |
Post Code | 41033304 |
Phone Number | 2075532069 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LC10575 |
Definition: 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, certif |
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What is the unique identification code assigned to John Thibodeau by the Centers for Medicare & Medicaid Services?
The John Thibodeau has been issued the NPI (National Provider Identifier) 1205988565. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John Thibodeau's physical address?
The John Thibodeau is physically located at 1011 Forest Ave, in the city of Portland, ME, with the postal code 41033304.
What is John Thibodeau's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John Thibodeau is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205988565 to John Thibodeau?
The Centers for Medicare & Medicaid Services assigned the 1205988565 to John Thibodeau on 2007-01-17.
As of what date was the information regarding John Thibodeau, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Thibodeau, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.