NICOLE MARIE THERIAULT LICSW
NPI 1275777419
Social Worker - Clinical in Plymouth, MA

Active since April 30, 2009
139 SANDWICH ST, PLYMOUTH, MA 02360(508) 746-5900 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Marie Theriault Licsw NPPES

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

NICOLE MARIE THERIAULT LICSW (NPI 1275777419) is an individual clinical provider in Plymouth, Massachusetts, licensed in Massachusetts (000121054) and active in the NPI registry since April 2009. She maintains a secondary practice location in Auburn.

NPPES Registry Identity

NPI1275777419
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE MARIE THERIAULTCredential: LICSW
Location Address139 SANDWICH STPlymouth, MA 02360
Mailing Address139 Sandwich StPlymouth, MA 02360-2449 · (508) 746-5900
Sole ProprietorNo
Enumeration DateApril 30, 2009
Last NPPES UpdateJune 5, 2018
NPI 1275777419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in MA · 000121054 Licensed in ME · LC13137
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.
139 SANDWICH ST, Plymouth, MA 02360

Secondary Practice Location 1

Location 1220 Danville Corner RdAuburn, ME 04210-8605 · Phone (207) 871-1211 · Fax (207) 782-2636

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Pediatrics)
139 SANDWICH ST
PLYMOUTH, MA 02360
Nurse Practitioner (Pediatrics)
139 SANDWICH ST
PLYMOUTH, MA 02360
Family Medicine
139 SANDWICH ST
PLYMOUTH, MA 02360
Pediatrics
139 SANDWICH ST
PLYMOUTH, MA 02360
Pediatrics
139 SANDWICH ST
PLYMOUTH, MA 02360
Pediatrics
139 SANDWICH ST
PLYMOUTH, MA 02360
Pediatrics
139 SANDWICH ST
PLYMOUTH, MA 02360
Pediatrics
139 SANDWICH ST
PLYMOUTH, MA 02360

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 Nicole Theriault's NPI number?

The NPI number for Nicole Theriault is 1275777419. It was assigned to this individual provider in the NPPES registry on April 30, 2009.

Where is Nicole Theriault located?

Nicole Theriault practices at 139 Sandwich St, Plymouth, MA 02360. The listed phone number is (508) 746-5900.

What is Nicole Theriault'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 Nicole Theriault was last updated on June 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.