DOROTHY THIBODEAU LMSW
NPI 1164185500
Social Worker - Clinical in Talbott, TN

Q: What is Dorothy Thibodeau's NPI number?

The NPI number for Dorothy Thibodeau is 1164185500. It was assigned to this individual provider in the NPPES registry on October 21, 2021. The provider is also known as Dorothy Bolduc.

Q: What is Dorothy Thibodeau's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dorothy Thibodeau was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since October 21, 2021PECOS EnrolledAccepts Medicare Assignment

6350 W ANDREW JOHNSON HWY, TALBOTT, TN 37877(207) 509-9994 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2026, Aug 29, 2023, Oct 21, 2021 (3 updates tracked since 2021).

On this page

About Dorothy Thibodeau Lmsw NPPES

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

DOROTHY THIBODEAU LMSW (NPI 1164185500) is an individual clinical provider in Talbott, Tennessee, licensed in Tennessee (LSW10280) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Morristown, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164185500

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameDOROTHY THIBODEAUCredential: LMSW

Location Address6350 W ANDREW JOHNSON HWYTalbott, TN 37877-8605

Mailing Address1923 Sulphur Springs RdMorristown, TN 37813-5654 · (207) 509-9994

Phone(207) 509-9994

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 21, 2021

Last NPPES UpdateJune 5, 20263 updates tracked since enumeration

NPPES CertifiedJune 5, 2026

✔ NPI 1164185500 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 TN · LSW10280

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.

6350 W ANDREW JOHNSON HWY, Talbott, TN 37877

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Other Names 1

Former Name (1)Dorothy Bolduc

Secondary Practice Location 1

Location 1815 W 5th North StMorristown, TN 37814-3810 · Phone (423) 586-5032 · Fax (423) 581-8473

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dorothy Thibodeau Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507339611

PECOS Enrollment IDI20260619002297

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 Dorothy Thibodeau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cherokee Health Systems

Same address

Federally Qualified Health Center (FQHC)

6350 W ANDREW JOHNSON HWY
Talbott, TN 37877

Reassigned Medicare billing, Tennessee enrollment
257 clinicians in this Medicare group

NPI 1134128820 (423) 587-7337

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 37877 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 $52.64 – $160.89

Typical copayment $0.00 (range $13.16 – $40.22)

Most-billed visit code NA

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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 20

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

MONSERRATH RAMOS PEREZ

Nurse's Aide