Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWARD JOSEPH THIBODEAU, MSSA
Active Sole ProprietorMR. EDWARD JOSEPH THIBODEAU, MSSA is a Clinical Social Worker healthcare provider located in CANANDAIGUA, New York. NPI 1063485761 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · CANANDAIGUA, NY
Registration Details
- NPI Number
- 1063485761
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2006 (20.317152146982 yrs)
- Last Updated
- Oct 2, 2010
- License
-
44SC04888700 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5234 OVERLOOK LNCANANDAIGUA, NY, 144249111Browse NY providers · Browse ZIP 14424
- Phone
- 5853319320
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in CANANDAIGUA, NY
| Name | Credential | NPI |
|---|---|---|
| ANGELA WRIGHT | LCSW-R | 1669432704 |
| RICHARD KENNETH DAVIS | MSW | 1750320263 |
| JOHN PETER ESTABROOK | MSW | 1295777217 |
| MR. WILLIAM THOMAS DAVIDSON | LMSW | 1497791636 |
| MRS. TAMMY FRANKLIN | LMSW | 1053349951 |
| MS. KATHERINE JOHANNA SCHAFFER | LCSW-R | 1396774733 |
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.