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ANDREA TOLBERT LCSW
NPI 1396113213
Social Worker - Clinical in Portland, ME

Active since September 09, 2015PECOS Enrolled
63 FEDERAL ST # 1012, PORTLAND, ME 04101(207) 951-5838 Get Directions Write a Review

NPPES record last updated: October 13, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 13, 2024, Feb 13, 2020, Jan 15, 2020 and 2 more (5 updates tracked since 2018).

About Andrea Tolbert Lcsw NPPES

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

ANDREA TOLBERT LCSW (NPI 1396113213) is an individual clinical provider in Portland, Maine, licensed in Maine (LC17051) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in South Portland.

NPPES Registry Identity

NPI1396113213
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANDREA TOLBERTCredential: LCSW
Location Address63 FEDERAL ST # 1012Portland, ME 04101-4222
Mailing Address405 Western Ave, #301South Portland, ME 04106-1705 · (207) 951-5838
Phone(207) 951-5838
Sole ProprietorNo
Enumeration DateSeptember 9, 2015
Last NPPES UpdateOctober 13, 20245 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1396113213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in ME · LC17051✔ Licensed in ME · MC15564
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.
63 FEDERAL ST # 1012, Portland, ME 04101
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Secondary Practice Location 1

Location 1405 Western Ave, #301South Portland, ME 04106-1705 · Phone (207) 951-5838

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Tolbert 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.

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

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

ABSOLUTE HAPPINESS PSYCHOTHERAPY AND CONSULTATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
63 FEDERAL ST # 1012
PORTLAND, ME 04101
Cumberland County (207) 951-5838

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 Andrea Tolbert's NPI number?

The NPI number for Andrea Tolbert is 1396113213. It was assigned to this individual provider in the NPPES registry on September 9, 2015.

Where is Andrea Tolbert located?

Andrea Tolbert practices at 63 Federal St # 1012, Portland, ME 04101. The listed phone number is (207) 951-5838.

What is Andrea Tolbert's specialty?

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

Is Andrea Tolbert enrolled in Medicare?

Yes. Andrea Tolbert is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Tolbert was last updated on October 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.