Active NPIIndividual providerSole proprietor

Diane M Therriault, LICSW

Social Worker, Clinical in Methuen, Massachusetts

NPI Number1386128668
Practice location
100 Milk Street, Methuen, MA 01844-1506
Fax
978-688-7533
Last updated
September 21, 2018

Diane Marie Therriault is a Social Worker, Clinical based in Methuen, MA. Diane Marie Therriault practices in Methuen, MA and has the professional credentials of LICSW. The NPI Number for Diane Marie Therriault is 1386128668 and holds a License No. 107468 (MA). The current practice location address for Diane Marie Therriault is 100 Milk Street, Methuen, MA 01844-1506 and can be reached out via phone at 978-686-9900 and via fax at 978-688-7533.

Provider Profile Details

NPI Number
1386128668
Provider Name
Diane Marie Therriault
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
100 Milk Street, Methuen, MA 01844-1506
Phone Number
978-686-9900
Fax Number
978-688-7533
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 21, 2018
Last Update Date
September 21, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Milk Street
Methuen, MA 01844-1506
Zip
01844-1506
Phone Number
978-686-9900
Fax Number
978-688-7533
Methuen, MA 01844Get directions →

Provider Business Mailing Address Details

Address
4 Duckford Cir
Nashua, NH 03063-1506
City
Nashua
State
NH
Zip
03063-1506
Phone Number
603-233-2157
Fax Number
978-688-7533

License Information

License Number (1)
107468
License State (1)
MA
Taxonomy (1)
Behavior Technician · 106S00000X
License Number (2)
107468
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Diane M Therriault, LICSW?

The NPI number of Diane M Therriault, LICSW is 1386128668. It was assigned on September 21, 2018 and is currently active in the NPPES registry.

What is the specialty of Diane M Therriault, LICSW?

Diane M Therriault, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 107468.

Where does Diane M Therriault, LICSW practice?

The practice location is 100 Milk Street, Methuen, MA 01844-1506. The office can be reached at 978-686-9900 (phone) or 978-688-7533 (fax).

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 1386128668 directly on the NPPES registry website.

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