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Active NPI 1285835611 Individual Practitioner Male Practitioner

Matthew John Thibault , LCSW

Social Worker - Clinical • Windham, ME

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Matthew Thibault, LCSW is a certified Social Worker - Clinical practicing in Windham, ME. With approximately 19 years of clinical experience since completing medical education in 2007, Matthew Thibault delivers high-quality medical care to the local community at 86 TANDBERG TRAIL.

Matthew Thibault is affiliated with Spurwink Services Incorporated and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

86 Tandberg Trail

Windham, ME 040623411

Telephone 2078930386
Associated Practice Facility / Clinic
🏢 Day One Facility NPI 1164484093

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Windham, ME

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs +0.6 yrs vs City Avg
City Avg: 18.4 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
41 Specialists

Practicing in Windham, ME (3792 Statewide)

Telehealth Adoption Rate
14.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
45.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thibault (19 Years) 19 Yrs
Windham Specialty Average (18.4 Years) 18.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
159 11 $180.50 $99.19

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License ME LC12551

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.

Hospital & Practice Group Affiliations

Spurwink Services Incorporated

139 State St, Bangor, ME 044015317

Phone: 2078711200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Amelia Petrucci , LMSW-CC

Social Worker - Clinical

NPI 1023901659

LMSWCC

Stephanie Coreau , LCSW

Social Worker - Clinical

NPI 1104252907

Licensed Clinical Social Worker

Howland Bickerstaff , LCPC, LADC, CCS

Counselor - Addiction (Substance Use Disorder)

NPI 1144694894

Licensed Clinical Professional Counselor, Licensed Alcohol and Drug Counselor, Certified Coding Specialist

NPI 1164250437

LCPCCC

NPI 1215890934

LMSWCC

Erin Lovejoy , LCSW, CCS

Social Worker - Clinical

NPI 1245305176

Licensed Clinical Social Worker, Certified Coding Specialist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address January 04, 2019

Registered at PO BOX 1360, WINDHAM, ME 040621360 (Tel: 2078930386)

NPI Profile Active September 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2012

Registered at 86 TANDBERG TRAIL, WINDHAM, ME 040623411 (Tel: 2078930386)

📍
Updated Business Mailing Address September 11, 2012

Registered at 86 TANDBERG TRAIL, WINDHAM, ME 040623411 (Tel: 2078930386)

👤
Provider Name / Credentials Updated September 11, 2012

Recorded as MATTHEW THIBAULT, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2012

Social Worker (License #LC12551 in ME)

🟢
Initial NPI Registration & Enumeration May 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285835611
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2007
Last Update: January 04, 2019
Sole Proprietor: Yes

Mailing Address

Po Box 1360

Windham, ME 040621360

Phone: 2078930386

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.