Active NPIIndividual providerSole proprietor

Miss Shela Tibaut, LCSW

Social Worker, Clinical in Plainsboro, New Jersey

NPI Number1104586528
Practice location
906 Hunters Glen Dr, Plainsboro, NJ 08536-2824
Fax
—
Last updated
December 27, 2021

Shela Tibaut is a Social Worker, Clinical based in Plainsboro, NJ. Shela Tibaut practices in Plainsboro, NJ and has the professional credentials of LCSW. The NPI Number for Shela Tibaut is 1104586528 and holds a License No. 44SC06036100 (NJ). The current practice location address for Shela Tibaut is 906 Hunters Glen Dr, Plainsboro, NJ 08536-2824 and can be reached out via phone at 609-375-6464.

Provider Profile Details

NPI Number
1104586528
Provider Name
Shela Tibaut
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
906 Hunters Glen Dr, Plainsboro, NJ 08536-2824
Phone Number
609-375-6464
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 27, 2021
Last Update Date
December 27, 2021
Certification Date
December 27, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
906 Hunters Glen Dr
Plainsboro, NJ 08536-2824
Zip
08536-2824
Phone Number
609-375-6464
Plainsboro, NJ 08536Get directions →

Provider Business Mailing Address Details

Address
906 Hunters Glen Dr
Plainsboro, NJ 08536-2824
City
Plainsboro
State
NJ
Zip
08536-2824
Phone Number
609-375-6464

License Information

License Number
44SC06036100
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Plainsboro, NJ

View all Social Worker, Clinical providers in Plainsboro →

Frequently Asked Questions

What is the NPI number of Miss Shela Tibaut, LCSW?

The NPI number of Miss Shela Tibaut, LCSW is 1104586528. It was assigned on December 27, 2021 and is currently active in the NPPES registry.

What is the specialty of Miss Shela Tibaut, LCSW?

Miss Shela Tibaut, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC06036100.

Where does Miss Shela Tibaut, LCSW practice?

The practice location is 906 Hunters Glen Dr, Plainsboro, NJ 08536-2824. The office can be reached at 609-375-6464 (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 1104586528 directly on the NPPES registry website.

Browse related providers