1. Home
  2. Directory
  3. Maine
  4. Eliot
  5. Social Worker
  6. NPI Profile

TONI D BENNETT LCSW
NPI 1497885537
Social Worker - Clinical in Eliot, ME

Active since March 07, 2007PECOS EnrolledAccepts Medicare Assignment
178 HAROLD L DOW HWY, ELIOT, ME 03903(207) 337-4788 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Toni D Bennett Lcsw NPPES

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

TONI D BENNETT LCSW (NPI 1497885537) is an individual clinical provider in Eliot, Maine, licensed in Maine (LC4527) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1497885537
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTONI D BENNETTCredential: LCSW
Location Address178 HAROLD L DOW HWYEliot, ME 03903-2056
Mailing AddressPo Box 483Eliot, ME 03903-0483 · (207) 337-4788
Phone(207) 337-4788
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMarch 7, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1497885537 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 · LC4527
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.
178 HAROLD L DOW HWY, Eliot, ME 03903
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Toni D Bennett 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 ID4082718267
PECOS Enrollment IDI20070328000015
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 Toni Bennett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Affiliates Maine, LLC
70 mi
Community/Behavioral Health
306 RODMAN RD
Auburn, ME 04210
  • Reassigned Medicare billing, Maine enrollment
  • 269 clinicians in this Medicare group
NPI 1932413556 (207) 333-3278

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 03903 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 Toni Bennett's NPI number?

The NPI number for Toni Bennett is 1497885537. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Toni Bennett located?

Toni Bennett practices at 178 Harold L Dow Hwy, Eliot, ME 03903. The listed phone number is (207) 337-4788.

What is Toni Bennett's specialty?

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

Is Toni Bennett enrolled in Medicare?

Yes. Toni Bennett 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 organization bills Medicare for Toni Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toni Bennett reassigns Medicare benefits to Health Affiliates Maine, LLC (Auburn, 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 Toni Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Toni Bennett accept?

Health plans from Anthem Blue Cross and Blue Shield list Toni Bennett 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 Toni Bennett 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.