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MR. EDWARD JOSEPH THIBODEAU MSSA
NPI 1063485761
Social Worker - Clinical in Canandaigua, NY

Active since February 12, 2006
5234 OVERLOOK LN, CANANDAIGUA, NY 14424(585) 331-9320 Get Directions Write a Review

NPPES record last updated: October 2, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Edward Joseph Thibodeau Mssa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EDWARD JOSEPH THIBODEAU MSSA (NPI 1063485761) is an individual clinical provider in Canandaigua, New York, licensed in New Jersey (44SC04888700) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1063485761
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. EDWARD JOSEPH THIBODEAUCredential: MSSA
Location Address5234 OVERLOOK LNCanandaigua, NY 14424-9111
Mailing Address5234 Overlook LnCanandaigua, NY 14424-9111 · (585) 331-9320
Phone(585) 331-9320
Sole ProprietorYes
Enumeration DateFebruary 12, 2006
Last NPPES UpdateOctober 2, 2010
✔ NPI 1063485761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC04888700
Definition
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.
5234 OVERLOOK LN, Canandaigua, NY 14424
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRINCETON CONSULTING AND THERAPY, LLC
Social Worker (Clinical)
5234 OVERLOOK LN
CANANDAIGUA, NY 14424
Ontario County (585) 331-9320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Thibodeau's NPI number?

The NPI number for Edward Thibodeau is 1063485761. It was assigned to this individual provider in the NPPES registry on February 12, 2006.

Where is Edward Thibodeau located?

Edward Thibodeau practices at 5234 Overlook Ln, Canandaigua, NY 14424. The listed phone number is (585) 331-9320.

What is Edward Thibodeau's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Edward Thibodeau was last updated on October 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.