Diane Marie Therriault, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

107468 Issued in MA

Practice address

100 Milk Street
Methuen, MA 01844-1506

Phone

(978) 686-9900

Fax

(978) 688-7533

NPI assigned

Sep 21, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1386128668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DUCKFORD CIR",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631506",
            "telephone_number": "603-233-2157",
            "fax_number": "978-688-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MILK STREET",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018441506",
            "telephone_number": "978-686-9900",
            "fax_number": "978-688-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERRIAULT",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MA",
            "license": "107468",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "107468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Practice Dr Joulak PC
• The Practice OB/GYN PC
• The Practice OB/GYN Steward, PC
• The Practice OBGYN Dr Joulak PC
• The Rehabilitation Network of New England
• Beatrice Thibedeau
• Moses Kuria Thiga
• Thomas P Torrisi DDS PC
• Jalissa Thomas, RN
• Kelly Thompson

• Clinical Social Worker in Methuen, MA
• Providers in Methuen, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.