Individual provider Active NPI

Dorothy Thibodeau, LMSW

  • Clinical Social Worker
  • Talbott, TN
National Provider Identifier
1164185500
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW10280 Issued in TN
Practice address
6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605
Phone
(207) 509-9994
NPI assigned
Oct 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSW10280 TN Primary

Addresses

Primary practice location

6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605

Mailing address

1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (207) 509-9994

Other practice location 1

815 W 5th North St
Morristown, TN 37814-3810
Phone (423) 586-5032

Other names 1

  • Dorothy Bolduc Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260619002297 TN Practitioner - Clinical Social Worker 6507339611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 Synergy Way
Holly Hill, FL 32117-2502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW10280TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Health Systems Social Worker CurrentSince Jun 2, 2026 Accepting new patients
Cherokee Health Systems PastSince Jun 2, 2026 Accepting new patients

Locations

2018 Western Ave
Knoxville, TN 37921
Phone (865) 544-0406

815 W 5th North St
Morristown, TN 37814
Phone (423) 586-5032

1923 Sulphur Springs Rd
Morristown, TN 37813

6350 W Andrew Johnson Hwy
Talbott, TN 37877
Phone (423) 586-5031

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

Interoperability endpoints

  • Direct secure messaging: dorothy.bolduc.p1@direct.cherokeehealth.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1164185500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 SULPHUR SPRINGS RD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378135654",
            "telephone_number": "207-509-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 W ANDREW JOHNSON HWY",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778605",
            "telephone_number": "207-509-9994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 W 5th North St",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378143810",
            "country_code": "US",
            "telephone_number": "423-586-5032",
            "fax_number": "423-581-8473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIBODEAU",
        "first_name": "DOROTHY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW10280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "BOLDUC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Talbott, TN

Sources for this page

Verify at the official NPI Registry.