Jessica Lynne Thibeau, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

126057 Issued in NY

Practice address

725 E Adams St
Syracuse, NY 13210-2576

Phone

(315) 464-3100

NPI assigned

Jun 25, 2024

Last updated

Jan 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1659116440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 WESTBROOK HILLS DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132151875",
            "telephone_number": "315-777-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102576",
            "telephone_number": "315-464-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBEAU",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "126057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ther Centers at St. Camillus
• Therapeutic Mental Health Counseling, PLLC
• Therapy Partners in OT, PT, and Speech-Language Pathology, PLLC (Thrive By 5)
• Marc Therrien
• Nanette Marie Thibado, RN
• Jennifer Ann Thieben, RPA-C
• Brett J Thiel, CRNA
• Hope Alyssa Thilburg, OTR/L
• Arshdeep Thind
• Terrence J Thines, DDS

• Clinical Social Worker in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.