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

Mr. Edward Joseph Thibodeau, MSSA

Individual provider Clinical Social Worker · NPI 1063485761

Mr. Edward Joseph Thibodeau, MSSA is a Clinical Social Worker in Canandaigua, New York. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2006

Practice location Address checks out

5234 Overlook Ln
Canandaigua, NY 14424-9111
Phone: (585) 331-9320
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC04888700 (NJ)

Record details

NPI number1063485761
Entity typeIndividual (Type 1)
GenderMale
Credentials MSSA
Sole proprietorYes
NPI enumeratedFebruary 12, 2006
Last updated in NPPESOctober 2, 2010

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