SHELLEY ALANE THERIAULT (NPI# 1740526953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740526953 |
| Entity Type | Individual |
| Full Name | SHELLEY ALANE THERIAULT |
| Credential | LMSW |
| Practice Address |
15 Kids Cor Machias ME 04654-3328 |
| Mailing Address |
530 Route 1 Pembroke ME 04666-4425 |
| Practice Telephone | 2072558473 |
| Mailing Telephone | 2072140255 |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
MC13939 | ME | Behavioral Health & Social Service Providers |
| Street Address |
15 KIDS COR |
| City | MACHIAS |
| State | ME |
| Zip Code | 04654-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629451802 | Deborah Day | Social Worker | 15 Kids Cor, Machias, ME 04654-3328 | 2015-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528577574 | Teresa Lynn Mcguire | Massage Therapist | 63 Old County Rd, Machias, ME 04654 | 2017-09-21 |
| 1801294723 | Jennifer Lynn Wood | Social Worker | 232 Court Street, Machias, ME 04654 | 2014-12-09 |
| 1467624551 | Thomas Richmond Halkett | Counselor | 8 Pleasant Blvd, Machias, ME 04654 | 2008-03-28 |
| 1821206731 | Barbara Lynn Fox | Counselor | Upper Court Street, Machias, ME 04654 | 2007-05-21 |
| 1205958402 | Town of Machias | Ambulance | 25 Mcdonald Dr, Machias, ME 04654 | 2007-04-06 |
| 1760503080 | John A Edwards | Psychologist | 294 East Kennebec Road, Machias, ME 04654 | 2007-04-03 |
| 1689791089 | Jody E Mountcastle | Social Worker | 14 Steves Ln, Marshfield, ME 04654 | 2007-03-23 |
| 1497829733 | Charles H Dorr Jr. | Dentist | 25 Hadley Lake Road, Marshfield, ME 04654 | 2006-11-20 |
| 1457360141 | Donna K. Salisbury | Social Worker | 15 Kids Corner, Machias, ME 04654 | 2006-08-05 |
| 1568471936 | Diana Sholtz | Psychologist | 1 Stackpole Road, Machias, ME 04654 | 2006-08-05 |
| Find all providers in zip 04654 | ||||
| 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 |
|---|---|---|---|---|
| 1801294723 | Jennifer Lynn Wood | Social Worker | 232 Court Street, Machias, ME 04654 | 2014-12-09 |
| 1780990705 | Laura Landry | Social Worker | 17 Stackpole Dr # 5, Machias, ME 04654-7000 | 2010-08-27 |
| 1841356656 | Wendy Jo Evans | Social Worker | 17 Stackpole Dr, Ste 3, Machias, ME 04654-7000 | 2006-12-28 |
| 1508979824 | Diane Bell | Social Worker | 3 North St, Machias, ME 04654-1131 | 2006-08-17 |
| 1457360141 | Donna K. Salisbury | Social Worker | 15 Kids Corner, Machias, ME 04654 | 2006-08-05 |
| 1629451802 | Deborah Day | Social Worker | 15 Kids Cor, Machias, ME 04654-3328 | 2015-07-07 |
| 1881827657 | Susan Erickson | Social Worker | 26 Hadley Lake Road, Machias, ME 04654-0088 | 2009-08-27 |
| 1215162144 | Mary J Wegrzyn | Social Worker | 232 Court St, Machias, ME 04654 | 2009-05-21 |
| 1477700334 | Carol A. Beckman | Social Worker | 26 Main St, Machias, ME 04654-1165 | 2008-08-22 |
| 1043411937 | Elizabeth W. Walsh | Social Worker | Upper Court Street, Machias, ME 04654 | 2007-05-30 |
| Find all providers in MACHIAS | ||||
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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.