PATRICE THIBODEAU (NPI# 1255799185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255799185 |
| Entity Type | Individual |
| Full Name | PATRICE THIBODEAU |
| Credential | LCSW |
| Practice Address |
400 N Washington St Suite 116 Farmington MO 63640-1716 |
| Mailing Address |
2909 Independence St Cape Girardeau MO 63703-5044 |
| Practice Telephone | 5732189653 |
| Practice Fax Number | 5738031405 |
| Mailing Telephone | 5738031402 |
| Mailing Fax Number | 5738031405 |
| Enumeration Date | 2016-02-06 |
| Last Update Date | 2016-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2015035786 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902992308 | Patrice M Thibodeau | Internal Medicine | 28000 Meadow Drive #210, Evergreen, CO 80439 | 2006-10-04 |
| Street Address |
400 N WASHINGTON ST SUITE 116 |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396834008 | Sandra Mcintosh | Counselor | 400 N Washington St, Farmington, MO 63640-1716 | 2006-10-12 |
| 1598201527 | Heidi Allen | Social Worker | 400 N Washington St, Suite 116, Farmington, MO 63640-1716 | 2017-01-14 |
| 1811449044 | Bridge of Hope | Residential Treatment Facility, Emotionally Disturbed Children | 400 N Washington St, Farmington, MO 63640-1716 | 2016-11-04 |
| 1215486329 | Mark Leon Reeves | Counselor | 400 N Washington St, Farmington, MO 63640-1716 | 2016-09-30 |
| 1083162218 | Dena Boyd | Counselor | 400 N Washington St, Suite 116, Farmington, MO 63640-1716 | 2016-09-16 |
| 1518325448 | Carolyn Polk | Counselor | 400 N Washington St, Suite 116, Farmington, MO 63640-1716 | 2016-02-06 |
| 1407240252 | Robin Daher | Counselor | 400 N Washington St, Suite 116, Farmington, MO 63640-1716 | 2015-03-18 |
| 1720478167 | Terry Ziegler | Counselor | 400 N Washington St, Suite 111, Farmington, MO 63640-1716 | 2015-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041360 | Christine Mullin | Social Worker | 883 Plainville Ave, Farmington, CT 06032-3121 | 2020-10-21 |
| 1831704964 | Cary Rae Millbury | Social Worker | 16 Middle Street, Farmington, ME 04938 | 2020-09-15 |
| 1457979296 | Sarah Howroyd LLC | Social Worker | Sarah Howroyd Lcsw, Suite 313, Farmington, CT 06032-2985 | 2020-07-08 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1558919878 | Pamela L Begay Psychotherapy, LLC | Social Worker | 5101 College Blvd, Farmington, NM 87402-4709 | 2019-08-29 |
| 1750933826 | Anne Christina Di Iorio-fitzpatrick | Social Worker | 33110 Grand River Ave, Farmington, MI 48336-3120 | 2019-07-09 |
| 1780240259 | Karen S. Ferrell, LLC | Social Worker | 114 E Columbia St # B11, Farmington, MO 63640-3103 | 2019-05-10 |
| 1326517061 | Karen Sue Ferrell | Social Worker | 114 E Columbia St Ste B11, Farmington, MO 63640-3103 | 2018-11-23 |
| 1295235596 | Amber Perez | Social Worker | 20 Batterson Park Rd Ste 300, Farmington, CT 06032-4500 | 2018-02-14 |
| 1982128138 | Renee Lachance George | Social Worker | Uconn Health Center Iop 263 Farmington, Farmington, CT 06030-0001 | 2017-07-31 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.