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

Nicole Marie Theriault, LICSW

Individual provider Clinical Social Worker · NPI 1275777419

Nicole Marie Theriault, LICSW is a Clinical Social Worker in Plymouth, Massachusetts. Works from 2 locations. Licensed in Massachusetts and Maine.

Licensed in
MA, ME
In the registry since
2009
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.

See every abbreviation used in this directory →

Practice location Address checks out

139 Sandwich St
Plymouth, MA 02360
Phone: (508) 746-5900
Show map & directions

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

Additional practice locations (1)

  • 220 Danville Corner Rd, Auburn, ME 04210-8605 — (207) 871-1211

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 000121054 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LC13137 (ME)

Record details

NPI number1275777419
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 30, 2009
Last updated in NPPESJune 5, 2018

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