Individual ProviderPatrice ThibodeauSocial WorkerBehavioral Health & Social Service ProvidersPractice Address400 N Washington St, Suite 116, Farmington, MO 63640-1716(573) 218-9653(573) 803-1402PECOS EnrollmentBased on the most recent information from CMS, provider Patrice Thibodeau does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:13 AM.Profile DetailsProvider ID1255799185Provider TypeIndividualFull NameThibodeau, PatriceCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date2/6/2016Last Updated2/6/2016Contact InformationPractice LocationPractice Address400 N Washington St, Suite 116, Farmington, MO 63640-1716Phone(573) 218-9653Fax(573) 803-1405Mailing LocationMailing Address2909 Independence St, Cape Girardeau, MO 63703-5044Phone(573) 803-1402Fax(573) 803-1405Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense2015035786Missouri