JOHN THIBODEAU LCSW
NPI 1205988565
Social Worker - Clinical in Portland, ME
About John Thibodeau Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN THIBODEAU LCSW (NPI 1205988565) is an individual clinical provider in Portland, Maine, licensed in Maine (LC10575) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John Thibodeau Lcsw 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Thibodeau's NPI number?
The NPI number for John Thibodeau is 1205988565. It was assigned to this individual provider in the NPPES registry on January 17, 2007.
Where is John Thibodeau located?
John Thibodeau practices at 1011 Forest Ave, Portland, ME 04103. The listed phone number is (207) 553-2069.
What is John Thibodeau's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is John Thibodeau enrolled in Medicare?
Yes. John Thibodeau is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for John Thibodeau was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# John Thibodeau, LCSW · NPI 1205988565
Clinical provider in Portland, Maine. Individual provider, active in the CMS NPPES registry since January 17, 2007.
## Identity
- **NPI:** 1205988565 (Entity type: Individual)
- **Enumerated:** January 17, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LC10575 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 1011 FOREST AVE, Portland, ME 04103-3304
- **Phone:** (207) 553-2069
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1205988565) · Data from the CMS NPPES public registry.