Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brandon Ronald Thibeault, LICSW, LCSW

Individual provider Clinical Social Worker · NPI 1053947028

Brandon Ronald Thibeault, LICSW, LCSW is a Clinical Social Worker in Newport, Rhode Island. Practices as a sole proprietor. Licensed in California and Rhode Island.

Licensed in
CA, RI
In the registry since
2020
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

20 Russell Ave
Newport, RI 02840-1724
Phone: (207) 318-9630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW03070 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 93042 (CA)

Record details

NPI number1053947028
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW , LCSW
Sole proprietorYes
NPI enumeratedMarch 21, 2020
Last updated in NPPESNovember 27, 2023
Certification dateMarch 21, 2020

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