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MATTHEW JOHN THIBAULT LCSW
NPI 1285835611
Social Worker - Clinical in Windham, ME

Active since May 31, 2007PECOS EnrolledAccepts Medicare Assignment
86 TANDBERG TRAIL, WINDHAM, ME 04062(207) 893-0386 Get Directions Write a Review

NPPES record last updated: January 4, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Matthew John Thibault Lcsw NPPES

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

MATTHEW JOHN THIBAULT LCSW (NPI 1285835611) is an individual clinical provider in Windham, Maine, licensed in Maine (LC12551) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1285835611
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMATTHEW JOHN THIBAULTCredential: LCSW
Location Address86 TANDBERG TRAILWindham, ME 04062-3411
Mailing AddressPo Box 1360Windham, ME 04062-1360 · (207) 893-0386 · Fax (207) 893-2086
Phone(207) 893-0386
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateMay 31, 2007
Last NPPES UpdateJanuary 4, 2019
✔ NPI 1285835611 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 · LC12551
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.
86 TANDBERG TRAIL, Windham, ME 04062
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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

Matthew John Thibault 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.

PECOS PAC ID4587851431
PECOS Enrollment IDI20101206000172
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 Reassignments

2

Medicare enrollment records show Matthew Thibault reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Day One
Same address
Substance Abuse Treatment, Children
86 TANDBERG TRL
Windham, ME 04062
  • Reassigned Medicare billing, Maine enrollment
  • 14 clinicians in this Medicare group
NPI 1164484093 (207) 893-0386
Spurwink Services Incorporated
15 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 04062 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.

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 Matthew Thibault's NPI number?

The NPI number for Matthew Thibault is 1285835611. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Matthew Thibault located?

Matthew Thibault practices at 86 Tandberg Trail, Windham, ME 04062. The listed phone number is (207) 893-0386.

What is Matthew Thibault's specialty?

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

Is Matthew Thibault enrolled in Medicare?

Yes. Matthew Thibault 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.

Which organizations bill Medicare for Matthew Thibault's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Thibault reassigns Medicare benefits to 2 organizations: Day One (Windham, ME) and Spurwink Services Incorporated (Portland, ME). Each 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 Matthew Thibault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Thibault was last updated on January 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.