MEDICARE: MS. AARON THIBERT LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW22018	FL
2	1041C0700X	Clinical Social Worker	CSW009660	GA
3	1041C0700X	Clinical Social Worker	C017046	NC

General Provider Information

NPI Number	:	1265219976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AARON THIBERT LCSW

Provider Business Mailing Address
First Line	:	16602 PALM LANDING WAY APT 837
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-5007
Country	:	US
Telephone Number	:	813-802-8896
Fax Number	:

Provider Business Practice Location Address
First Line	:	10920 MCKINLEY DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-6471
Country	:	US
Telephone Number	:	813-745-5975
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2023
Last Update Date	:	03/13/2026

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