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

Individual provider Clinical Social Worker · NPI 1235922691

Kirstie Thibodeaux, LCSW is a Clinical Social Worker in San Antonio, Texas. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2025
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

4810 Creekmoor Dr
San Antonio, TX 78220-4840
Phone: (409) 679-3309
Fax: (409) 679-3309
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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 65616 (TX)

Record details

NPI number1235922691
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 27, 2025
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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