Individual provider Active NPI

Rebecca J Tolman, LCSW

  • Clinical Social Worker
  • Springvale, ME
National Provider Identifier
1689715575
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MC10935 Issued in ME
Practice address
474 Main St
Springvale, ME 04083-1409
Phone
(207) 234-1500
NPI assigned
Feb 12, 2007
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 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 MC10935 ME Primary

Addresses

Primary practice location

474 Main St
Springvale, ME 04083-1409

Mailing address

474 Main St
Springvale, ME 04083-1409
Phone (207) 324-1500

Other identifiers 1

IdentifierTypeStateIssuer
432510499MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20110531000476 AZ Practitioner - Clinical Social Worker 1052450400 Reassigns benefits to 1 organization
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC10935MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sequoia Springs Trauma Healing Center Inc Clinical CurrentSince Nov 1, 2021 Accepting new patients
Maine Behavioral Healthcare Past Accepting new patients

Locations

2055 N Kolb Rd
Ste 121
Tucson, AZ 85715
Phone (520) 269-0212

6761 E Tanque Verde Rd
Ste 6
Tucson, AZ 85715
Phone (520) 298-2313

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1689715575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 MAIN ST",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831409",
            "telephone_number": "207-324-1500",
            "fax_number": "207-282-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 MAIN ST",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831409",
            "telephone_number": "207-234-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLMAN",
        "first_name": "REBECCA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC10935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432510499",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springvale, ME

Sources for this page

Verify at the official NPI Registry.