Active NPI
Adam Thibodeau PLLC
- Clinical Social Worker
- Arlington, VA
National Provider Identifier
1740192053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- ADAM THIBODEAU PLLC
- Practice address
- 2819 21St Rd S
Arlington, VA 22204-5231 - Phone
- (313) 452-5751
- NPI assigned
- Sep 21, 2026
- Last updated
- Sep 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adam Thibodeau
- Title
- Owner
- Phone
- (313) 452-5751
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
2819 21St Rd S
Arlington, VA 22204-5231
Mailing address
2819 21St Rd S
Arlington, VA 22204-5231
Practitioners & affiliated clinicians
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789948800000",
"number": "1740192053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2819 21ST RD S",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222045231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2819 21ST RD S",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222045231",
"telephone_number": "313-452-5751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADAM THIBODEAU PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A",
"authorized_official_last_name": "THIBODEAU",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-452-5751"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.