Michele M Thibodeaux, LCSW-BACS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

120 S State St
Abbeville, LA 70510-5149

Phone

(337) 513-0822

Fax

(337) 202-2376

NPI assigned

May 24, 2022

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

Enrolled in LA

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, 2010

Medicare assignment

May accept Medicare assignment

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.

• MMT Therapy and Wellness

  • Clinical Social Worker
  • Youngsville, LA
  • NPI 1841985173
  Medicare reassignment NPD Authorized official
• New Beginnings Recovery Clinic, LLC

  • Addiction Medicine (Family Medicine) Physician
  • New Martinsville, WV
  • NPI 1255912184
  NPD (past)

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1992443469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8448 STEVE RD",
            "city": "KAPLAN",
            "state": "LA",
            "postal_code": "705486437",
            "telephone_number": "133-750-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S STATE ST",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705105149",
            "telephone_number": "337-513-0822",
            "fax_number": "337-202-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAUX",
        "first_name": "MICHELE",
        "middle_name": "M",
        "credential": "LCSW-BACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madilyn Suire, SLP
• Brian Sullivan, MD
• Torie Tauzin, FNP-C
• Nicole Theriot, RN
• Richard Theriot, PT
• Paula Clauson Thibodeaux
• Desiree Thomas
• Thrifty Way Pharmacy of Abbeville Inc
• Thrifty Way Pharmacy of Abbeville, Inc.
• Time Bound Transportation LLC

• Clinical Social Worker in Abbeville, LA
• Providers in Abbeville, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.