Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Thibodeau, LCSW

Individual provider Clinical Social Worker · NPI 1205988565

John Thibodeau, LCSW is a Clinical Social Worker in Portland, Maine. Qualified in 2004, 22 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
22
Licensed in
ME
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1011 Forest Ave
Portland, ME 04103-3304
Phone: (207) 553-2069
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LC10575 (ME)

Record details

NPI number1205988565
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 17, 2007
Last updated in NPPESJuly 8, 2007
Mailing address30 Park St, 2, Portland, ME 04101-4515

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Portland