Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENT THIBAULT, LMSW, CADC
Active Sole ProprietorKENT THIBAULT, LMSW, CADC is a Social Worker healthcare provider located in JEROME, Idaho. NPI 1639454770 is currently active in the NPPES registry. Verify at CMS.
Social Worker · JEROME, ID
Registration Details
- NPI Number
- 1639454770
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2011 (14.630750961424 yrs)
- Last Updated
- Oct 20, 2011
- License
-
LMSW-28571 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
251 N 300 EJEROME, ID, 833385451Browse ID providers · Browse ZIP 83338
- Phone
- 2083248284
- Fax
- 2083248284
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in JEROME, ID
| Name | Credential | NPI |
|---|---|---|
| MARYLIN EACKER | LSW | 1063667319 |
| AMANDA PAIGE BRAGA | LCSW | 1871098137 |
| CHANDI DELYN MARSTON | LMSW | 1356103873 |
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.