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TORI-LYNN WILCOX LCSW
NPI 1659741114
Social Worker - Clinical in Bangor, ME

Active since September 28, 2015PECOS Enrolled
98.44/100
CMS Quality Rating
268 STILLWATER AVE, BANGOR, ME 04401(207) 973-6100(207) 973-6100 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tori-lynn Wilcox Lcsw NPPES

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

TORI-LYNN WILCOX LCSW (NPI 1659741114) is an individual clinical provider in Bangor, Maine, licensed in Maine (LC17697) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hampden.

NPPES Registry Identity

NPI1659741114
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTORI-LYNN WILCOXCredential: LCSW
Location Address268 STILLWATER AVEBangor, ME 04401-3980
Mailing Address268 Stillwater AveBangor, ME 04401-3980 · (207) 973-6100
Phone(207) 973-6100
Fax(207) 973-6100
Sole ProprietorNo
Enumeration DateSeptember 28, 2015
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1659741114 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 · LC17697
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.
268 STILLWATER AVE, Bangor, ME 04401
Open in Google Maps ↗

Secondary Practice Location 1

Location 1138 Kennebec RdHampden, ME 04444-1317 · Phone (617) 299-9542

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tori-lynn Wilcox 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.

Medicare Billing Reassignments

2

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

St. Joseph Hospital
0.6 mi
General Acute Care Hospital
360 BROADWAY
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 259 clinicians in this Medicare group
NPI 1154321545 (207) 907-1000
Charles A Dean Memorial Hospital
61 mi
Critical Access
364 PRITHAM AVE
Greenville, ME 04441
  • Reassigned Medicare billing, Maine enrollment
  • 105 clinicians in this Medicare group
NPI 1659388213 (207) 695-5215

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
47 services15 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
44 services15 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
26 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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 $53.26 – $162.77
Typical copayment $0.00 (range $13.31 – $40.69)
Most-billed visit code NA
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.88
Promoting Interoperability100
Improvement Activities40

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.

DR. KAREN SINGH MD
Student in an Organized Health Care Education/Training Program
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6100
CRYSTLE ELDRIDGE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6100
ALENA AYOTTE OTR/L
Occupational Therapist
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6100
ANDREA MITCHELL LMSW-CC
Social Worker (Clinical)
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6100
DR. CLIFFORD M SINGER M.D.
Psychiatry & Neurology (Geriatric Psychiatry)
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6100
JENNIFER M TRACEY LMFT
Marriage & Family Therapist
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6100
JUSTIN MICHAUD
Counselor (Professional)
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6044
KATHERINE DIONNE OT
Occupational Therapist
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6100

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 Tori-lynn Wilcox's NPI number?

The NPI number for Tori-lynn Wilcox is 1659741114. It was assigned to this individual provider in the NPPES registry on September 28, 2015.

Where is Tori-lynn Wilcox located?

Tori-lynn Wilcox practices at 268 Stillwater Ave, Bangor, ME 04401. The listed phone number is (207) 973-6100.

What is Tori-lynn Wilcox's specialty?

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

Is Tori-lynn Wilcox enrolled in Medicare?

Yes. Tori-lynn Wilcox is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tori-lynn Wilcox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tori-lynn Wilcox reassigns Medicare benefits to 2 organizations: St. Joseph Hospital (Bangor, ME) and Charles A Dean Memorial Hospital (Greenville, 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 Tori-lynn Wilcox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tori-lynn Wilcox accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Tori-lynn Wilcox 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 Tori-lynn Wilcox was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.