| Matthew John Thibault, LCSW | |
|
86 Tandberg Trail, Windham, ME 04062-3411 | |
| (207) 893-0386 | |
| Not Available |
| Full Name | Matthew John Thibault |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 18 Years |
| Location | 86 Tandberg Trail, Windham, Maine |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285835611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC12551 (Maine) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spurwink Services Incorporated | 7810026945 | 63 |
| Entity Name | Spurwink Services Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760507297 PECOS PAC ID: 7810026945 Enrollment ID: O20100527000272 |
| Entity Name | Day One |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164484093 PECOS PAC ID: 9032249644 Enrollment ID: O20100608000839 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew John Thibault, LCSW Po Box 1360, Windham, ME 04062-1360 Ph: (207) 893-0386 | Matthew John Thibault, LCSW 86 Tandberg Trail, Windham, ME 04062-3411 Ph: (207) 893-0386 |
Marie A Pedersen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 584 Roosevelt Trl, Windham, ME 04062 Phone: 207-662-8907 | |
Stephanie Coreau, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 86 Tandberg Trl, Windham, ME 04062 Phone: 207-893-0386 Fax: 207-893-2086 | |
Michelle H. Bolen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 744 Roosevelt Trl Ste 302a, Windham, ME 04062 Phone: 207-892-7797 Fax: 207-892-7797 | |
Carlisle E. Blind, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 40 Windham Center Rd., Windham, ME 04062 Phone: 207-856-1500 Fax: 207-856-1518 | |
Kathryn M Vandermast, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 Mallison Falls Rd, Windham, ME 04062 Phone: 207-893-7000 | |
Matthew K Lombard, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 20 Lincoln Cir, Windham, ME 04062 Phone: 207-615-2292 | |
Torrey Harrison, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 744 Roosevelt Trl, Windham, ME 04062 Phone: 207-892-4623 Fax: 207-892-5317 |