# ADAM THIBODEAU PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740192053
- **Authorized official:** ADAM THIBODEAU (OWNER)
- **Authorized official phone:** (313) 452-5751

## Contact information

- **Practice address:** 2819 21ST RD S, ARLINGTON, VA 22204-5231
- **Practice address phone:** (313) 452-5751
- **Mailing address:** 2819 21ST RD S, ARLINGTON, VA 22204-5231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2026
- **Last updated:** 09/21/2026
