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

Individual provider Behavior Technician · NPI 1386128668

Diane Marie Therriault, LICSW is a Behavior Technician in Methuen, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2018
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.

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Practice location Address checks out

100 Milk St
Methuen, MA 01844-1506
Phone: (978) 686-9900
Fax: (978) 688-7533
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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 107468 (MA)
Behavior Technician Taxonomy 106S00000X · Licence 107468 (MA)

Record details

NPI number1386128668
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedSeptember 21, 2018
Last updated in NPPESSeptember 21, 2018

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