Estelle M Thibodeau, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1328 Issued in NH

Practice address

330 New Durham Rd
Alton, NH 03809-4923

Phone

(603) 941-4878

Fax

(603) 941-0410

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emthibodeau MSW Licsw LLC

  • Clinical Social Worker
  • Alton, NH
  • NPI 1659126001
  Medicare reassignment NPD Authorized official
• Emthibodeau, Licsw, LLC

  • Clinical Social Worker
  • Alton, NH
  • NPI 1265757470
  NPD Authorized official
• Bahder Behavioral Services LLC

  • Psychiatry Physician
  • Gilford, NH
  • NPI 1366541062

  Clinical

  NPD

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1750304218",
    "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": {
        "last_name": "THIBODEAU",
        "first_name": "ESTELLE",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750304218",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30424430",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Revival Behavioral Health Services
• Seaside Smiles, PLLC
• Kelly Ann Sullivan, RN
• Jennifer Anne Tedcastle, PA-C
• Curtis A Thibeault, DMD
• Town of Alton
• Brianna Shelleen Turner
• Korin White
• Jennifer Ann Wirtz, R.PH.

• 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 Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.