Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANE EDWARD THERIAULT, LSW-C
ActiveMR. SHANE EDWARD THERIAULT, LSW-C is a Social Worker healthcare provider located in CARIBOU, Maine. NPI 1649397928 is currently active in the NPPES registry. Verify at CMS.
Social Worker · CARIBOU, ME
Registration Details
- NPI Number
- 1649397928
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2007 (19.352772569136 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LSX8780 (ME)
Practice Information
- Address
-
4 LOMBARD RD.CARIBOU, ME, 047360748Browse ME providers · Browse ZIP 04736
- Phone
- 2074982575
- Fax
- 2074922410
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in CARIBOU, ME
| Name | Credential | NPI |
|---|---|---|
| MS. MARLA A. RAYMOND | MSW-MHRT/C | 1649338104 |
| MRS. TAMMY L. DEVEAU | LMSW-CC | 1174689947 |
| JONATHAN WADE MAXSON | MSW | 1861510406 |
| ANN R. ESCKILSEN | MSW | 1427176734 |
| DANIELLE B PERRY | LSW | 1508090853 |
| JUDY OUELLETTE | — | 1194057596 |
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.