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KATHLEEN O'TOOLE LCSW
NPI 1033721808
Social Worker - Clinical in Portland, ME

Active since August 21, 2020PECOS Enrolled
95 INDIA ST, PORTLAND, ME 04101(207) 641-5417 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 17, 2024, Aug 21, 2020 (2 updates tracked since 2020).

About Kathleen O'toole Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN O'TOOLE LCSW (NPI 1033721808) is an individual clinical provider in Portland, Maine, licensed in Maine (MC18957) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033721808
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHLEEN O'TOOLECredential: LCSW
Location Address95 INDIA STPortland, ME 04101-4250
Mailing Address201 Mariner Way # 1040Biddeford, ME 04005-9437 · (207) 641-5417
Phone(207) 641-5417
Sole ProprietorNo
Enumeration DateAugust 21, 2020
Last NPPES UpdateApril 17, 20242 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
✔ NPI 1033721808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ME · MC18957
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
95 INDIA ST, Portland, ME 04101
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen O'toole Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kathleen O'toole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spurwink Services Incorporated
0.5 mi
Mental Health (Including Community Mental Health Center)
62 ELM ST
Portland, ME 04101
  • Reassigned Medicare billing, Maine enrollment
  • 162 clinicians in this Medicare group
NPI 1760507297 (207) 773-7811

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.28 – $169.96
Typical copayment $0.00 (range $14.07 – $42.49)
Most-billed visit code NA
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER DAVID WILK MD
Psychiatry & Neurology (Psychiatry)
95 INDIA ST, THIRD FLOOR
PORTLAND, ME 04101
Cumberland County (207) 619-4260
ROOM TO GROW COUNSELING LLC
Social Worker (Clinical)
95 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 641-5417
MS. MARY ELIZABETH MONTGOMERY LCPC
Counselor (Professional)
95 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 939-1927
STEPHANIE ROSE TRANCHEMONTAGNE, LCSW LLC
Social Worker (Clinical)
95 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 502-5090
MS. MARGERY BOODY PATTISON LCSW
Social Worker (Clinical)
95 INDIA ST, STE 5
PORTLAND, ME 04101
Cumberland County (207) 775-0155
DANIEL PIERCE LCSW, LADC
Social Worker (School)
95 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 749-1838
MICHELE ANNE ROBITAILLE MSW
Social Worker
95 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 775-4199
BRIEF THERAPY ASSOCIATES
Social Worker (Clinical)
95 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 672-2373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen O'toole's NPI number?

The NPI number for Kathleen O'toole is 1033721808. It was assigned to this individual provider in the NPPES registry on August 21, 2020.

Where is Kathleen O'toole located?

Kathleen O'toole practices at 95 India St, Portland, ME 04101. The listed phone number is (207) 641-5417.

What is Kathleen O'toole's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kathleen O'toole enrolled in Medicare?

Yes. Kathleen O'toole is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen O'toole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen O'toole reassigns Medicare benefits to Spurwink Services Incorporated (Portland, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen O'toole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen O'toole accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Kathleen O'toole as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen O'toole was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.