Brandon R Thibeault, LICSW, LCSW
Social Worker, Clinical in Newport, Rhode Island
1053947028- Practice location
- 20 Russell Ave, Newport, RI 02840-1724
- Phone
- 207-318-9630
- Fax
- —
- Last updated
- November 27, 2023
Brandon Ronald Thibeault is a Social Worker, Clinical based in Newport, RI. Brandon Ronald Thibeault practices in Newport, RI and has the professional credentials of LICSW, LCSW. The NPI Number for Brandon Ronald Thibeault is 1053947028 and holds a License No. 93042 (CA). The current practice location address for Brandon Ronald Thibeault is 20 Russell Ave, Newport, RI 02840-1724 and can be reached out via phone at 207-318-9630.
Provider Profile Details
- NPI Number
- 1053947028
- Provider Name
- Brandon Ronald Thibeault
- Credential
- LICSW, LCSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 20 Russell Ave, Newport, RI 02840-1724
- Phone Number
- 207-318-9630
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 21, 2020
- Last Update Date
- November 27, 2023
- Certification Date
- March 21, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Russell Ave
Newport, RI 02840-1724 - City
- Newport
- State
- Rhode Island
- Zip
- 02840-1724
- Phone Number
- 207-318-9630
Provider Business Mailing Address Details
- Address
- 20 Russell Ave
Newport, RI 02840-1724 - City
- Newport
- State
- RI
- Zip
- 02840-1724
- Phone Number
- 207-318-9630
License Information
- License Number (1)
- 93042
- License State (1)
- CA
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- ISW03070
- License State (2)
- RI
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Newport, RI
View all Social Worker, Clinical providers in Newport →- Abigale J Whewell, LICSWSocial Worker, Clinical · NPI 1215752043
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- Ariana Machado, MSW, QMHPSocial Worker, Clinical · NPI 1164895876
- Art Talk LLCSocial Worker, Clinical · NPI 1780380303
- Brian D Mcneil, MSWSocial Worker, Clinical · NPI 1821438292
- Child & Family Services Of Newport CountySocial Worker, Clinical · NPI 1194940437
Frequently Asked Questions
What is the NPI number of Brandon R Thibeault, LICSW, LCSW?
The NPI number of Brandon R Thibeault, LICSW, LCSW is 1053947028. It was assigned on March 21, 2020 and is currently active in the NPPES registry.
What is the specialty of Brandon R Thibeault, LICSW, LCSW?
Brandon R Thibeault, LICSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CA under license number 93042.
Where does Brandon R Thibeault, LICSW, LCSW practice?
The practice location is 20 Russell Ave, Newport, RI 02840-1724. The office can be reached at 207-318-9630 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053947028 directly on the NPPES registry website.