Emthibodeau, Licsw, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1328 Issued in NH

Legal business name

EMTHIBODEAU, LICSW, LLC

Doing business as

EMThibodeau, LICSW, LLC

Practice address

330 New Durham Rd
Alton, NH 03809-4923

Phone

(603) 941-4878

Fax

(603) 941-0410

NPI assigned

Mar 30, 2010

Last updated

Jan 26, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Estelle M Thibodeau, LICSWNPI 1750304218

Title

Owner

Phone

(603) 941-4878

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• EMThibodeau, LICSW, LLC Doing business as

Tax ID family

Emthibodeau Licsw LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Emthibodeau MSW Licsw LLC

  dba EMThibodeau LICSW LLC

  • Clinical Social Worker
  • Alton, NH
  • NPI 1659126001
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Estelle M Thibodeau, LICSW

  • Clinical Social Worker
  • Alton, NH
  • NPI 1750304218
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1265757470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 NEW DURHAM RD",
            "city": "ALTON",
            "state": "NH",
            "postal_code": "038094923",
            "telephone_number": "603-941-4878",
            "fax_number": "603-941-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 NEW DURHAM RD",
            "city": "ALTON",
            "state": "NH",
            "postal_code": "038094923",
            "telephone_number": "603-941-4878",
            "fax_number": "603-941-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMTHIBODEAU, LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "THIBODEAU",
        "authorized_official_first_name": "ESTELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-941-4878",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  INDIVIDUAL",
            "identifier": "1750304218",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30424430",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMThibodeau, LICSW, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clearchoicemd, PLLC
• Judith Wood Cole, ARNP
• Gabrielle Anne Copeley, L.M.T.
• Dr. Greg Baker Orthodontics, PLLC
• Emthibodeau MSW Licsw LLC (EMThibodeau LICSW LLC)
• Carrie Ann Flynn, APRN
• Amanda J. Fucci, APRN
• Granite State Behavioral Health PLLC
• Hannaford Bros Co LLC (Hannaford Food and Drug)
• Melinda Ann Houle, DC

• Clinical Social Worker in Alton, NH
• Providers in Alton, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.