MRS. KRISTIN LAVERNE THIBEDEAU (NPI# 1609109867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609109867 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN LAVERNE THIBEDEAU |
| Credential | L.C.S.W. |
| Practice Address |
18745 Hatteras St #48 Tarzana CA 91356-1468 |
| Practice Telephone | 8187051754 |
| Practice Fax Number | 8187051754 |
| Mailing Telephone | 8187051754 |
| Mailing Fax Number | 8187051754 |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2010-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW 3749 | CA | Behavioral Health & Social Service Providers |
| Street Address |
18745 HATTERAS ST #48 |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-1468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| 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 |
|---|---|---|---|---|
| 1811468820 | Deborah Allyson Teyer | Social Worker | 18140 Oxnard St Unit 57, Tarzana, CA 91356-1781 | 2018-12-17 |
| 1144747122 | Jonathan David Perlman | Social Worker | 5187 Lindley Ave, Tarzana, CA 91356-4349 | 2017-08-29 |
| 1205175619 | Anthony Oden | Social Worker | 18349 Delano St, Tarzana, CA 91335 | 2013-02-05 |
| 1932411543 | Nichole Hemans | Social Worker | 18663 Ventura Blvd Ste 232, Tarzana, CA 91356-6801 | 2010-07-12 |
| 1053418772 | Jill Einhorn | Social Worker | 18401 Burbank Bl, St 219, Tarzana, CA 91356 | 2006-09-17 |
| 1912986050 | Maurie C. Davidson | Social Worker | 18401 Burbank Blvd, Suite 206, Tarzana, CA 91356-2822 | 2006-01-16 |
| 1962050807 | Maria Angelica Fraire-morales | Social Worker | 18321 Clark St, Tarzana, CA 91356-3501 | 2019-09-03 |
| 1073160214 | Jeremiah C Buenrostro | Social Worker | 18646 Oxnard St, Tarzana, CA 91356-1486 | 2019-08-22 |
| 1386111425 | Lillian Maria Vai | Social Worker | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2018-10-26 |
| 1902308877 | Justin Mink | Social Worker | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2018-03-06 |
| Find all providers in TARZANA | ||||
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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.