Cherisse Thibaut, LCSW
Social Worker, Clinical in Kirkwood, MO. Individual provider (NPI-1).
NPI number1952997751
StatusActive
Last updated in NPPESDec 15, 2020
Details
- NPI
- 1952997751
- Entity type
- Individual (NPI-1)
- Name
- Cherisse Thibaut
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 15, 2020
- Certification date
- Dec 15, 2020
- Last updated
- Dec 15, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 2015000976 | MO | Yes |
Practice location
4 Garden LnKirkwood, MO 63122-2636
Phone 314-368-0447
Mailing address
4 Garden LnKirkwood, MO 63122-2636
Phone 314-368-0447
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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