Andrea Tolbert, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC17051 Issued in ME

Practice address

63 Federal St # 1012
Portland, ME 04101-4222

Phone

(207) 951-5838

NPI assigned

Sep 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728777600000",
    "number": "1396113213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 WESTERN AVE",
            "address_2": "#301",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061705",
            "telephone_number": "207-951-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 FEDERAL ST # 1012",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014222",
            "telephone_number": "207-951-5838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Western Ave",
            "address_2": "#301",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041061705",
            "country_code": "US",
            "telephone_number": "207-951-5838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLBERT",
        "first_name": "ANDREA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC15564",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC17051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TLC Angels, Inc (Visiting Angels of Southern Coastal Maine)
• Toby a. Ansfield, PH.D., P.a.
• Michelle A. Tocher, CNM
• Kyle Todd, MD
• Togus Vamc
• Timothy W Tolford, OD
• Nicholas Toma, DO
• Devon Tomasi McCann, LCSW
• Torah A Tomasi, MD
• Melissa S Tomback, CD(DONA)

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.