Individual provider Active NPI

Tori-Lynn Wilcox, LCSW

  • Clinical Social Worker
  • Bangor, ME
National Provider Identifier
1659741114
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC17697 Issued in ME
Practice address
268 Stillwater Ave
Bangor, ME 04401-3980
Phone
(207) 973-6100
Fax
(207) 973-6100
NPI assigned
Sep 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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 LC17697 ME Primary

Addresses

Primary practice location

268 Stillwater Ave
Bangor, ME 04401-3980

Mailing address

268 Stillwater Ave
Bangor, ME 04401-3980
Phone (207) 973-6100

Other practice location 1

138 Kennebec Rd
Hampden, ME 04444-1317
Phone (617) 299-9542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20190509001888 ME Practitioner - Clinical Social Worker 7911240122 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.58 of 100Reported as apm
Quality
83.17
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Hospital CurrentSince Jul 1, 2022 Accepting new patients
Eastern Maine Healthcare Systems CurrentSince Apr 27, 2025 Accepting new patients
Charles a Dean Memorial Hospital CurrentSince Apr 27, 2025 Accepting new patients

Locations

360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703

900 Broadway
Bangor, ME 04401
Phone (207) 907-3300

22 Haley Ct
Sangerville, ME 04479
Phone (207) 695-5200

Organizations & group practices 3

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": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1659741114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013980",
            "telephone_number": "207-973-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013980",
            "telephone_number": "207-973-6100",
            "fax_number": "207-973-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 Kennebec Rd",
            "address_purpose": "LOCATION",
            "city": "Hampden",
            "state": "ME",
            "postal_code": "044441317",
            "country_code": "US",
            "telephone_number": "617-299-9542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "TORI-LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC17697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.