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

Camille Theriaque, LCSW

Individual provider Clinical Social Worker · NPI 1922785260

Camille Theriaque, LCSW is a Clinical Social Worker in Springfield, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2023.

Licensed in
MA
In the registry since
2023
What do these letters mean?
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

417 Liberty St
Springfield, MA 01104-3736
Phone: (413) 301-9355
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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 226590 (MA)

Record details

NPI number1922785260
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 29, 2023
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023

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