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

Mr. Shane Edward Theriault, LSW-C

Individual provider Social Worker · NPI 1649397928

Mr. Shane Edward Theriault, LSW-C is a Social Worker in Caribou, Maine. Licensed in Maine. Registered with an NPI since 2007.

Licensed in
ME
In the registry since
2007

Practice location Address checks out

4 Lombard Rd
Caribou, ME 04736-0748
Phone: (207) 498-2575
Fax: (207) 492-2410
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LSX8780 (ME)

Record details

NPI number1649397928
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW-C
Sole proprietorNo
NPI enumeratedMarch 23, 2007
Last updated in NPPESJuly 8, 2007

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