Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON RONALD THIBEAULT, LICSW, LCSW
Active Sole ProprietorBRANDON RONALD THIBEAULT, LICSW, LCSW is a Clinical Social Worker healthcare provider located in NEWPORT, Rhode Island. NPI 1053947028 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · NEWPORT, RI
Registration Details
- NPI Number
- 1053947028
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2020 (6.3774990434289 yrs)
- Last Updated
- Nov 27, 2023
- Licenses
-
93042 (CA)ISW03070 (RI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20 RUSSELL AVENEWPORT, RI, 028401724Browse RI providers · Browse ZIP 02840
- Phone
- 2073189630
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in NEWPORT, RI
| Name | Credential | NPI |
|---|---|---|
| STEPHEN F CURRIER | LICSW | 1821058702 |
| MRS. KELLEY FORBES REILLY | MSW, LICSW | 1033163498 |
| MR. JOSHUA L. SCHURMAN | MSW | 1972544484 |
| MS. MARILYN J KANTER | LICSW | 1588686430 |
| DR. DEBORAH IDA SABOYA | LICSW, ABD | 1215945902 |
| MR. DANIEL J. DALY | ACSW, LICSW, BCD | 1861503021 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.